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NPI Code Detail

MEDICARE: BEN LI

MEDICARE: BEN 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
1183500000XPharmacist070119NY

General Provider Information

NPI Number : 1699478461
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEN LI
Provider Business Mailing Address
First Line : 93 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2109
Country : US
Telephone Number : 516-671-4908
Fax Number : 516-674-0317
Provider Business Practice Location Address
First Line : 93 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2109
Country : US
Telephone Number : 516-671-4908
Fax Number : 516-674-0317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 03/22/2023

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Directions to “ BEN LI ” Practice Location

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