Provider Demographics
NPI:1902018161
Name:LI, ZUJIN (MD)
Entity Type:Individual
Prefix:
First Name:ZUJIN
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 AVENUE P
Mailing Address - Street 2:UNIT 6A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6573
Mailing Address - Country:US
Mailing Address - Phone:347-240-2858
Mailing Address - Fax:
Practice Address - Street 1:214 AVENUE P
Practice Address - Street 2:UNIT 6A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-6573
Practice Address - Country:US
Practice Address - Phone:347-240-2858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238751207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology