Provider Demographics
NPI:1295722692
Name:QI, LI (L AC)
Entity type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:QI
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:257 W 94TH ST
Mailing Address - Street 2:CHILI ACUPUNCTURE CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6945
Mailing Address - Country:US
Mailing Address - Phone:212-662-8886
Mailing Address - Fax:212-662-6886
Practice Address - Street 1:257 W 94TH ST
Practice Address - Street 2:CHILI ACUPUNCTURE CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6945
Practice Address - Country:US
Practice Address - Phone:212-662-8886
Practice Address - Fax:212-662-6886
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1333171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist