Li, Stacy W

Li, Stacy W is an individual health care provider with primary practice located at 4012 80Th St , Elmhurst NY 11373-1234. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Li, Stacy W can be contacted via phone (718) 886-9000.

Contact Information

Primary practice address
4012 80Th St Elmhurst NY 11373-1234
Phone: (718) 886-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 015855 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015855 New York

Profile Details

NPI number 1265789945
LBN Legal business name Li, Stacy W
Credentials R-PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Feb 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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