Healthcare Provider Details

I. General information

NPI: 1376523845
Provider Name (Legal Business Name): ZU-RONG SHEU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7904 4TH AVE 1 FL
BROOKLYN NY
11209-3907
US

IV. Provider business mailing address

7904 4TH AVE 1 FL
BROOKLYN NY
11209-3907
US

V. Phone/Fax

Practice location:
  • Phone: 718-238-3376
  • Fax: 718-491-1410
Mailing address:
  • Phone: 718-238-3376
  • Fax: 718-491-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number189516
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: