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NPI 1588262745

NPI 1588262745 : ZT RMSK PC : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1588262745
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZT RMSK PC 
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Dates
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    Enumeration Date     |    10/10/2020
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    Last Update Date     |    10/10/2020
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Provider Practice Location Address
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    Address Line         |    3432 E TREMONT AVE FRNT 5 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10465-2033
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    Country              |    US
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    Telephone            |    516-388-0797
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    139 N WOOD LN 
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    City                 |    WOODMERE
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    State                |    NY
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    Zip                  |    11598-2161
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    Country              |    US
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    Telephone            |    516-388-0797
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    Fax                  |    516-341-0226
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. TONG  LI 
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    Credential           |    MD
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    Telephone            |    516-388-0798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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