NPI 1194700989

Lijun Song, MDPHD

Practitioner Rehabilitation Practitioner New York, NY

Practice location

Address: 39 East 20th Street, New York, NY 10003
Phone: (212) 473-9155
Fax: (212) 777-6522
Mailing address: 212 Collins Avenue, Williston Park, NY 11596

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 226051 (NY)

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Registry record

NPI: 1194700989
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.