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Contact Information

NATHAN C LI, PA-C
350 PARK AVE
11TH FLOOR
NEW YORK, NY10022
 Phone: 646-439-7660
 Fax: 212-813-3147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHAN C LI · (Male)

NPI # 1174807119
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/10/2011
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA60573
  • IL License # 085.008101
  • MA License # PA8445
  • NY License # 015497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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