MEDICARE: ZT RMSK PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1588262745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZT RMSK PC

Provider Business Mailing Address
First Line	:	139 N WOOD LN
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2161
Country	:	US
Telephone Number	:	516-388-0797
Fax Number	:	516-341-0226

Provider Business Practice Location Address
First Line	:	3432 E TREMONT AVE FRNT 5
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2033
Country	:	US
Telephone Number	:	516-388-0797
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TONG LI
Credential	:	MD
Telephone Number	:	516-388-0798

Provider Enumeration Date	:	10/10/2020
Last Update Date	:	10/10/2020

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