MEDICARE: EMMIE 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
1	363LF0000X	Family Nurse Practitioner	F356976-01	NY

General Provider Information

NPI Number	:	1972475861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMIE LI

Provider Business Mailing Address
First Line	:	2928 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 61ST ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4211
Country	:	US
Telephone Number	:	718-333-5537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	06/30/2026

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Directions to “ EMMIE LI ” Practice Location

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