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NPI Code Detail

MEDICARE: SUZANNE LI PHARM.D

MEDICARE: SUZANNE LI PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist064368NY

General Provider Information

NPI Number : 1164994893
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LI PHARM.D
Provider Business Mailing Address
First Line : 8723 17TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4546
Country : US
Telephone Number : 917-282-4587
Fax Number :
Provider Business Practice Location Address
First Line : 721 9TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10019-7256
Country : US
Telephone Number : 212-246-0168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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Directions to “ SUZANNE LI PHARM.D” Practice Location

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