Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 283567 | NY |
NPI | 1255619698 |
---|---|
Provider Name | Dr. Robert Li |
First Address | Flushing, NY 11354-3314 |
Second Address | Bronx, NY 10451-3535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 13/03/2019 |