| Billylimdpc | |
|
15 Division St Floor 6 New York NY 10002-6710 | |
| (212) 966-7493 | |
| Not Available |
| Full Name | Billylimdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Division St, New York, New York |
| Authorized Official Name and Position | Billy Li (OWNER) |
| Authorized Official Contact | 2129667493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Billylimdpc 15 Division St Floor 6 New York NY 10002-6710 Ph: (212) 966-7493 | Billylimdpc 15 Division St Floor 6 New York NY 10002-6710 Ph: (212) 966-7493 |
| NPI Number | 1508017740 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 12/05/2008 |
| Medicare PECOS PAC ID | 0345308946 |
|---|---|
| Medicare Enrollment ID | O20081027000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508017740 | NPI | - | NPPES |
| 02526598 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| Provider Name | Billy Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659368223 PECOS PAC ID: 6406849785 Enrollment ID: I20040405000098 |
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