Doctor Name: | TO SHAN LI |
NPI Number: | 1447367685 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 2182 |
Business Practice Address: | Northern Blvd Academic Health Care Center, Nycom-nyit Old Westbury, NY - 115688000 |
Business Phone Number: | 5166863700 |
Business Fax Number: | |
Mailing Address: | P.o. Box 8000, Academic Health Care Center, Nycom-nyit, Northern Blvd OLD WESTBURY |
State: | NY |
Postal Code: | 115688000 |
Phone Number: | 5166863700 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 2182 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |