Provider Demographics
NPI:1316026511
Name:LI, BAOQING (MD)
Entity Type:Individual
Prefix:DR
First Name:BAOQING
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5645 MAIN ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5045
Mailing Address - Country:US
Mailing Address - Phone:718-670-1501
Mailing Address - Fax:718-445-9846
Practice Address - Street 1:5645 MAIN ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-670-1501
Practice Address - Fax:718-445-9846
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2570872085R0001X
CAA979212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology