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1295587798
IVAN LI
COMMACK, NY
NPI
1295587798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 311752)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
IVAN LI NP
214 INDIAN HEAD RD
COMMACK, NY 11725-1310
Phone number: 917-607-3818
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Mailing Address
IVAN LI NP
214 INDIAN HEAD RD
COMMACK, NY 11725-1310
Phone number: 917-607-3818
Copy
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