Healthcare Provider Details

I. General information

NPI: 1336056399
Provider Name (Legal Business Name): YANCHUN ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13639 41ST AVE APT 4J
FLUSHING NY
11355-2454
US

IV. Provider business mailing address

13639 41ST AVE APT 4J
FLUSHING NY
11355-2454
US

V. Phone/Fax

Practice location:
  • Phone: 929-753-1176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number4178330
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: