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NPI Code Detail

MEDICARE: LI FAMILY MEDICAL PLLC

MEDICARE: LI FAMILY MEDICAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1225867393
Entity Type Code : Organization
Provider Name (Legal Business Name) : LI FAMILY MEDICAL PLLC
Provider Business Mailing Address
First Line : 8634 BAY PKWY FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8634 BAY PKWY FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4102
Country : US
Telephone Number : 347-562-3285
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SIMON LI
Credential : MD
Telephone Number : 347-562-3285
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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Directions to “LI FAMILY MEDICAL PLLC ” Practice Location

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