=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598674624
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METAFLOW HEALTH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2026
-----------------------------------------------------
Last Update Date | 09/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 MAMARONECK AVE STE OFC451
-----------------------------------------------------
City | HARRISON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10528-1635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-262-4316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 MAMARONECK AVE STE OFC451
-----------------------------------------------------
City | HARRISON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10528-1635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-262-4316
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | ERIC LI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 470-669-3959
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------