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NPI Code Detail

MEDICARE: YAN LI MD

MEDICARE: YAN LI MD
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
1208000000XPediatrics Physician224007NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508803792
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAN LI MD
Provider Business Mailing Address
First Line : 716 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5175
Country : US
Telephone Number : 917-470-9942
Fax Number : 718-536-2666
Provider Business Practice Location Address
First Line : 716 58TH ST # 1FL
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3917
Country : US
Telephone Number : 917-470-9942
Fax Number : 718-536-2666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 10/14/2025

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Directions to “ YAN LI MD” Practice Location

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