Healthcare Provider Details

I. General information

NPI: 1245931864
Provider Name (Legal Business Name): ALL ABOUT HEALTH MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11020 71ST RD APT 301
FOREST HILLS NY
11375-4905
US

IV. Provider business mailing address

11020 71ST RD APT 301
FOREST HILLS NY
11375-4905
US

V. Phone/Fax

Practice location:
  • Phone: 347-904-0850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: XIAOFENG LI
Title or Position: PRESIDENT
Credential: MD
Phone: 347-904-0850