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1649625831
IDA LI
STATEN ISLAND, NY
NPI
1649625831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 295551)
Enumeration Date
2016-04-26
Last Update Date
2019-01-25
Business Address
IDA LI MD
475 SEAVIEW AVE # 2261548
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-1548
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Mailing Address
IDA LI MD
80 BAY STREET LNDG APT 5L
STATEN ISLAND, NY 10301-2548
Phone number: 917-607-8589
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