Provider Demographics
NPI:1073773826
Name:LI, XINMEI (MD)
Entity Type:Individual
Prefix:DR
First Name:XINMEI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13633 37TH AVE
Mailing Address - Street 2:6B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4110
Mailing Address - Country:US
Mailing Address - Phone:718-886-7838
Mailing Address - Fax:718-886-4878
Practice Address - Street 1:13633 37TH AVE
Practice Address - Street 2:6B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4110
Practice Address - Country:US
Practice Address - Phone:718-886-7838
Practice Address - Fax:718-886-4878
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239885208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY239885OtherNY STATE LICENCE