Li Medical Group Pllc

LBN: Li Medical Group Pllc
Li Medical Group Pllc is an health care organization with primary practice located at 2090 Jericho Tpke , New Hyde Park NY 11040-4719. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Li Medical Group Pllc can be contacted via phone (516) 352-7828, or through Walton, Luke via phone (951) 900-3156.

Contact Information

Primary practice address
2090 Jericho Tpke New Hyde Park NY 11040-4719
Phone: (516) 352-7828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walton, Luke
Phone: (951) 900-3156

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1144878414
LBN Legal business name Li Medical Group Pllc
DBA Doing business as
Authorized official Walton, Luke
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2019
Last updated Jun 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144878414 NPPES
New York MEDICAID 01439550

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