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NPI Code Detail

MEDICARE: BONNIE LI

MEDICARE:   BONNIE  LI
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1427517655
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE LI
Provider Business Mailing Address
First Line : 8714 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3715
Country : US
Telephone Number : 347-613-9369
Fax Number :
Provider Business Practice Location Address
First Line : 8714 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3715
Country : US
Telephone Number : 347-613-9369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 03/18/2019

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Directions to “ BONNIE LI ” Practice Location

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