Provider Demographics
NPI:1154554996
Name:LI, CHANGSHENG (MD IN CHINA)
Entity type:Individual
Prefix:DR
First Name:CHANGSHENG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD IN CHINA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 HERING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1902
Mailing Address - Country:US
Mailing Address - Phone:718-792-1624
Mailing Address - Fax:718-792-1624
Practice Address - Street 1:1726 HERING AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1902
Practice Address - Country:US
Practice Address - Phone:718-792-1624
Practice Address - Fax:718-792-1624
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002681171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist