Dr JACK W LI is a male medical professional, specializing in Family Medicine. He graduated in 2012.
JAMAICA HOSPITAL
9120 ATLANTIC AVE
OZONE PARK
NY
114161527
Tel: 7186418207
| Npi | 1245653054 |
| Pac Id | 0941518393 |
| Professional Enrollment Id | I20151005000632 |
| Last Name | LI |
| First Name | JACK |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | JAMAICA HOSPITAL |
| Group Practice Pac Id | 2264324334 |
| Number Of Group Practice Members | 144 |
| Line 1 Street Address | 9120 ATLANTIC AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OZONE PARK |
| State | NY |
| Zip Code | 114161527 |
| Phone Number | 7186418207 |
| Hospital Affiliation Ccn 1 | 330014 |
| Hospital Affiliation Lbn 1 | JAMAICA HOSPITAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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