Provider Demographics
NPI:1285951590
Name:LI, LINDA T (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:LI
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:5 E 98TH ST FL 14
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-1608
Mailing Address - Fax:
Practice Address - Street 1:5 E 98TH ST FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10034424208600000X
TXP04282086S0120X
NJ25MA116281002086S0120X
GA928062086S0120X
NY3203792086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery