Most Relevant Information
Provider Data
| NPI Number: | 1003519752 |
| Provider Name: | ZACHARY LI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2023 |
| Last Updated: | 05/02/2024 |
Provider Practice Location
550 1ST AVE
NEW YORK
NY
100166402
Practice Location Phone/Fax
| Phone: | 3175170426 |
| Fax: |
Provider Mailing Location
485 FOLEY ST UNIT 510
SOMERVILLE
MA
021451275
Provider Mailing Phone/Fax
| Phone: | 3175170426 |
| Fax: |