Ren, Xiao Li

Ren, Xiao Li is an individual health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1347. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Ren, Xiao Li can be contacted via phone (516) 277-4959.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1347
Fax: (516) 622-4551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207200 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 207200 New York

Profile Details

NPI number 1699731471
LBN Legal business name Ren, Xiao Li
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Oct 17th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699731471 NPPES
New York MEDICAID 02676415

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