Healthcare Provider Details

I. General information

NPI: 1588262745
Provider Name (Legal Business Name): ZT RMSK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2020
Last Update Date: 10/10/2020
Certification Date: 10/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3432 E TREMONT AVE FRNT 5
BRONX NY
10465-2033
US

IV. Provider business mailing address

139 N WOOD LN
WOODMERE NY
11598-2161
US

V. Phone/Fax

Practice location:
  • Phone: 516-388-0797
  • Fax:
Mailing address:
  • Phone: 516-388-0797
  • Fax: 516-341-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TONG LI
Title or Position: OWNER
Credential: MD
Phone: 516-388-0798