Li, Ivan

Li, Ivan is an individual health care provider with primary practice located at 214 Indian Head Rd , Commack NY 11725-1310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Li, Ivan can be contacted via phone (917) 607-3818.

Contact Information

Primary practice address
214 Indian Head Rd Commack NY 11725-1310
Phone: (917) 607-3818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 311752 New York

Profile Details

NPI number 1295587798
LBN Legal business name Li, Ivan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2024
Last updated Apr 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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