Provider Demographics
NPI:1396474862
Name:LI, ZOEY JOCELYN (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ZOEY
Middle Name:JOCELYN
Last Name:LI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2245
Mailing Address - Country:US
Mailing Address - Phone:917-421-8287
Mailing Address - Fax:
Practice Address - Street 1:2833 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2245
Practice Address - Country:US
Practice Address - Phone:917-421-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist