Healthcare Provider Details

I. General information

NPI: 1154482859
Provider Name (Legal Business Name): LIXIN ZHANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 SHERIDAN DR SUITE 200
AMHERST NY
14226
US

IV. Provider business mailing address

3980 SHERIDAN DR SUITE B
AMHERST NY
14226-1727
US

V. Phone/Fax

Practice location:
  • Phone: 716-250-2000
  • Fax: 716-636-1365
Mailing address:
  • Phone: 716-250-2000
  • Fax: 716-250-2040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number227642
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number227642
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: