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General NPI Number Information
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NPI Number | 1811510811
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Entity Type | Organization
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Legal Business Name | DR PEDIATRIC PC
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 821 53RD ST UNIT C2
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City | BROOKLYN
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State | NY
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Zip | 11220-2917
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Country | US
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Telephone | 718-559-0923
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Fax | 718-663-2753
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Provider Business Mailing Address
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Address Line | 38 HOPEWELL DR
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City | STONY BROOK
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State | NY
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Zip | 11790-2339
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Country | US
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Telephone | 631-388-1212
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONGYE LI
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Credential | MD
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Telephone | 631-388-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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