MEDICARE: JOYCE LI

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
1	171100000X	Acupuncturist	006781	NY

General Provider Information

NPI Number	:	1669291043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE LI

Provider Business Mailing Address
First Line	:	3528 215TH ST APT 1
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1724
Country	:	US
Telephone Number	:	646-628-0541
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 OAKDALE ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-5114
Country	:	US
Telephone Number	:	917-636-0777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2024
Last Update Date	:	10/03/2024

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Directions to “ JOYCE LI ” Practice Location

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