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NPI Code Detail

MEDICARE: RONG SHAN LI

MEDICARE:   RONG SHAN  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
1171100000XAcupuncturist2717NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12717OTHERACUPUNCTURE

General Provider Information

NPI Number : 1548451537
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONG SHAN LI
Provider Business Mailing Address
First Line : 4323 9TH AVE APT 2F
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-4132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4323 9TH AVE APT 2F
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-4132
Country : US
Telephone Number : 646-441-8646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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Directions to “ RONG SHAN LI ” Practice Location

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