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NPI Code Detail

MEDICARE: MS. GABRIELLE LI

MEDICARE: MS. GABRIELLE 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1821802844
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GABRIELLE LI
Provider Business Mailing Address
First Line : 445 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 718-836-6600
Fax Number :
Provider Business Practice Location Address
First Line : 445 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 718-836-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 05/19/2026

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Directions to “ MS. GABRIELLE LI ” Practice Location

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