MEDICARE: MS. HELEN 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	225100000X	Physical Therapist	044859	NY

General Provider Information

NPI Number	:	1689223430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELEN LI

Provider Business Mailing Address
First Line	:	50 COURT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4879
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 COURT ST STE 1210
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4867
Country	:	US
Telephone Number	:	718-858-6546
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	12/02/2019

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Directions to “ MS. HELEN LI ” Practice Location

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