| Cypress Spinal Intervention Headache And Pelvic Pain, Pllc | |
|
530 New Waverly Pl Ste 105 Cary NC 27518-7414 | |
| (919) 897-8895 | |
| (949) 561-4863 |
| Full Name | Cypress Spinal Intervention Headache And Pelvic Pain, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 530 New Waverly Pl Ste 105, Cary, North Carolina |
| Authorized Official Name and Position | Zhicheng Li (PRESIDENT) |
| Authorized Official Contact | 9198978895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Spinal Intervention Headache And Pelvic Pain, Pllc 530 New Waverly Pl Ste 105 Cary NC 27518-7414 Ph: (919) 897-8895 | Cypress Spinal Intervention Headache And Pelvic Pain, Pllc 530 New Waverly Pl Ste 105 Cary NC 27518-7414 Ph: (919) 897-8895 |
| NPI Number | 1760071377 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 6406261080 |
|---|---|
| Medicare Enrollment ID | O20210211002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760071377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Zhicheng Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740365063 PECOS PAC ID: 2961576582 Enrollment ID: I20191114002543 |
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