Dr. Johnathan Ly, M.D.
Emergency Medicine in Flushing, NY. Individual provider (NPI-1).
NPI number1396123717
StatusActive
Last updated in NPPESAug 29, 2019
Details
- NPI
- 1396123717
- Entity type
- Individual (NPI-1)
- Name
- Dr. Johnathan Ly
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2015
- Last updated
- Aug 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 292237 | NY | Yes |
Practice location
5645 Main StEmergency Department
Flushing, NY 11355
Phone 718-670-1100
Mailing address
50 Saratoga AveSanta Clara, CA 95051-7387
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