MEDICARE: ZHIYOU ZHANG MEDICINE 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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1316412315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZHIYOU ZHANG MEDICINE PC

Provider Business Mailing Address
First Line	:	118 STRATFORD N
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2316
Country	:	US
Telephone Number	:	516-626-1610
Fax Number	:	516-626-1610

Provider Business Practice Location Address
First Line	:	8705 19TH AVE # 1STF
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3813
Country	:	US
Telephone Number	:	718-256-5608
Fax Number	:	718-256-5609

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ZHIYOU ZHANG
Credential	:	MD
Telephone Number	:	717-877-2268

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	06/02/2020

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