IndividualActive
Lijun Song, MD PHD
NPI 1194700989 · Rehabilitation Practitioner · New York, NY
Provider details
- NPI number
- 1194700989
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MD PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 226051 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
39 East 20th Street
New York, NY 10003
Phone: (212) 473-9155
Fax: (212) 777-6522
Approximate (ZIP-level) locationGet directions
Mailing address
212 Collins Avenue
Williston Park, NY 11596
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.