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NPI Code Detail

MEDICARE: DR. JENNY ZHU DDS

MEDICARE:  DR. JENNY  ZHU  DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry22DI02336000NJ
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry051371-1NY

General Provider Information

NPI Number : 1427255348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNY ZHU DDS
Provider Business Mailing Address
First Line : 20 CONFUCIUS PLZ
Second Line : APT 24H
City : NEW YORK
State : NY
Zip : 10002-6708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 CANAL ST
Second Line : 2ND FLOOR
City : NEW YORK
State : NY
Zip : 10002-5033
Country : US
Telephone Number : 212-966-2349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 08/30/2008

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