Provider Demographics
NPI:1740589662
Name:TOO, LILY
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:TOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIZU
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4242 COLDEN ST
Mailing Address - Street 2:D9
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4855
Mailing Address - Country:US
Mailing Address - Phone:718-415-6681
Mailing Address - Fax:718-228-8699
Practice Address - Street 1:4242 COLDEN ST
Practice Address - Street 2:D9
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4855
Practice Address - Country:US
Practice Address - Phone:718-415-6681
Practice Address - Fax:718-228-8699
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY554654163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse