Emanuel Y Li, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

085471-1 Issued in NY

Legal business name

EMANUEL Y LI, MD PC

Practice address

8 Banta St
Cmplex C - Suite 409
Phelps, NY 14532-1083

Phone

(315) 548-9062

NPI assigned

Oct 19, 2006

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emanuel Y Li, MD

Title

President

Phone

(315) 548-9062

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1861574287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BANTA ST",
            "address_2": "CMPLEX C - SUITE 409",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145321083",
            "telephone_number": "315-548-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BANTA ST",
            "address_2": "CMPLEX C - SUITE 409",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145321083",
            "telephone_number": "315-548-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL Y LI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-548-9062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "085471-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA0969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin J Damoth
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• Elizabeth Katherine Donk, DPT
• Cathy Driscoll
• Amanda Ferrell, LPN
• Lisa Marie Fox, LPN
• Damien Joel Haseley
• Miranda Mae Hoover, MSOTR/L
• Alexis Johnson

• Specialist in Phelps, NY
• Providers in Phelps, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.