Healthcare Provider Details

I. General information

NPI: 1174100390
Provider Name (Legal Business Name): DR. PEIZI LI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL
NEW YORK NY
10029-6504
US

IV. Provider business mailing address

215 E 95TH ST APT 32H
NEW YORK NY
10128-4088
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-8014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number3325999
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: