| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EVAN DANIEL LI | 1336729649 | 2021-04-11 |
Evan Daniel Li is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336729649. Registration indicates Evan Daniel Li is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Evan Daniel Li DO |
| Practice Office Address | 2201 HEMPSTEAD TPKE EAST MEADOW, NY US |
| Practice Office Telephone | 5165720123 |
| Mailing Address | 2201 HEMPSTEAD TPKE EAST MEADOW, NY 115541859 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |