| Doctor Name: | DR. SIMON LI |
| NPI Number: | 1871560409 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 223798 |
| Business Practice Address: | 100 Woods Rd Department Of Pediatric Critical Care Valhalla, NY - 105951530 |
| Business Phone Number: | 9176045283 |
| Business Fax Number: | 9144831281 |
| Mailing Address: | 100 Woods Rd, Department Of Pediatric Critical Care VALHALLA |
| State: | NY |
| Postal Code: | 105951530 |
| Phone Number: | 9176045283 |
| Fax Number: | 9144831281 |
| NPI Enumeration Date: | 03/02/2006 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 223798 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |