LILI REN, M.D.,P.C.
Ambulatory Health at Maple Ave, Flushing, NY

License number
New York 254738
Category
Ambulatory Health
Type
Primary Care
Owner
Name: LILI REN M.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (718) 886-5253
Address
Address
13421 Maple Ave FLOOR FIRST, Flushing, NY 11355
National Provider ID: 1417244302
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LILI REN, M.D., PC

134-21 Maple Ave 1, Flushing, NY 11355

Registration:
Jan 6, 2011
State ID:
4038805
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Lili Ren, 134-21 Maple Ave 1, Flushing, NY 11355 (Physical)
Agent:
Lili Ren, M.d.,P.c,134-21 Maple Ave 1, Flushing, NY 11355 (Physical)

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