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NPI Code Detail

MEDICARE: QI LI

MEDICARE: QI 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
1235Z00000XSpeech-Language Pathologist026973-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1026973-1OTHERNYLICENSE NUMBER

General Provider Information

NPI Number : 1962920496
Entity Type Code : Individual
Provider Name (Legal Business Name) : QI LI
Provider Business Mailing Address
First Line : 14214 26TH AVE APT 6A
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1702
Country : US
Telephone Number : 718-916-2079
Fax Number :
Provider Business Practice Location Address
First Line : 14628 JASMINE AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2248
Country : US
Telephone Number : 718-352-0104
Fax Number : 718-352-0131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 09/05/2017

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Directions to “ QI LI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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