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NPI Code Detail

MEDICARE: JESSICA ZHAO

MEDICARE: JESSICA ZHAO
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
1163W00000XRegistered NurseN33149NY

General Provider Information

NPI Number : 1629911565
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ZHAO
Provider Business Mailing Address
First Line : 14030 ASH AVE APT 6A
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 89 BARTLETT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4463
Country : US
Telephone Number : 718-828-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ JESSICA ZHAO ” Practice Location

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