| Yanlun Li Medical Practice P.C. | |
|
13630 Maple Ave Ste 2h Flushing NY 11355-3868 | |
| (718) 701-0589 | |
| (718) 701-0877 |
| Full Name | Yanlun Li Medical Practice P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 13630 Maple Ave Ste 2h, Flushing, New York |
| Authorized Official Name and Position | Yanlun Li (PRESIDENT) |
| Authorized Official Contact | 7187010589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yanlun Li Medical Practice P.C. 15 Brookbridge Rd Great Neck NY 11021-1040 | Yanlun Li Medical Practice P.C. 13630 Maple Ave Ste 2h Flushing NY 11355-3868 Ph: (718) 701-0589 |
| NPI Number | 1164040523 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 5193141174 |
|---|---|
| Medicare Enrollment ID | O20200820003544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164040523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Yanlun Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437467123 PECOS PAC ID: 4284869033 Enrollment ID: I20131101000572 |
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