Healthcare Provider Details

I. General information

NPI: 1295054807
Provider Name (Legal Business Name): WEI ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2010
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 6TH AVE
BROOKLYN NY
11220-3419
US

IV. Provider business mailing address

5616 6TH AVE
BROOKLYN NY
11220-3419
US

V. Phone/Fax

Practice location:
  • Phone: 718-439-5440
  • Fax: 718-567-9772
Mailing address:
  • Phone: 718-439-5440
  • Fax: 718-567-9772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number271484
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: