Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 193028 | NY |
NPI | 1073582243 |
---|---|
Provider Name | Dr. Veetai Li |
First Address | Buffalo, NY 14203-1009 |
Second Address | Buffalo, NY 14203-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010104202 | UNIVERA (01) | NY |
000511958002 | BLUE CROSS WNY (01) | NY |
01440133 | (05) | NY |
0605545 | INDEPENDENT HEALTH INS (01) | NY |
E96072 | (02) | NY |