Most Relevant Information
Provider Data
| NPI Number: | 1003302753 |
| Provider Name: | JONATHAN V LI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2018 |
| Last Updated: | 07/05/2018 |
Provider Practice Location
234 E 149TH ST
BRONX
NY
104515504
Practice Location Phone/Fax
| Phone: | 7185795000 |
| Fax: |
Provider Mailing Location
234 E 149TH ST
BRONX
NY
104515589
Provider Mailing Phone/Fax
| Phone: | 7185795000 |
| Fax: |