Healthcare Provider Details

I. General information

NPI: 1750247540
Provider Name (Legal Business Name): MEI CHAO LI ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14039 34TH AVE APT 2P
FLUSHING NY
11354-3014
US

IV. Provider business mailing address

14039 34TH AVE APT 2P
FLUSHING NY
11354-3014
US

V. Phone/Fax

Practice location:
  • Phone: 917-655-6886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF312483
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number692791
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: