Healthcare Provider Details

I. General information

NPI: 1073478491
Provider Name (Legal Business Name): YANLI LIACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4712 167TH ST
FLUSHING NY
11358-3714
US

IV. Provider business mailing address

4712 167TH ST
FLUSHING NY
11358-3714
US

V. Phone/Fax

Practice location:
  • Phone: 929-233-8253
  • Fax:
Mailing address:
  • Phone: 929-233-8253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: YANLI LI
Title or Position: ACUPUNCTURIST
Credential:
Phone: 929-233-8253