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NPI Code Detail

MEDICARE: LI MEI LEI

MEDICARE:   LI MEI  LEI
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
1363LA2200XAdult Health Nurse PractitionerF309077NY

General Provider Information

NPI Number : 1821559139
Entity Type Code : Individual
Provider Name (Legal Business Name) : LI MEI LEI
Provider Business Mailing Address
First Line : 50 BAY 38TH ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5517 7TH AVE APT 1F
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3519
Country : US
Telephone Number : 718-360-0817
Fax Number : 718-709-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 03/28/2019

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Directions to “ LI MEI LEI ” Practice Location

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