STACY W LI

ELMHURST, NY
NPI1265789945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015855)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NY  015855)
Enumeration Date2012-08-13
Last Update Date2022-02-14
Business Address
STACY W LI R-PAC
4012 80TH ST
ELMHURST, NY 11373-1234
Phone number: 718-886-9000
Mailing Address
STACY W LI R-PAC
4161 KISSENA BLVD STE 5A
FLUSHING, NY 11355-3105
Phone number: 718-886-9000