Provider Demographics
NPI:1396305280
Name:LI, MING (MA, NASM-CPT, CFA)
Entity type:Individual
Prefix:MR
First Name:MING
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MA, NASM-CPT, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W 88TH ST APT 13G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2350
Mailing Address - Country:US
Mailing Address - Phone:347-430-8055
Mailing Address - Fax:
Practice Address - Street 1:205 W 88TH ST APT 13G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2350
Practice Address - Country:US
Practice Address - Phone:347-430-8055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator