Healthcare Provider Details

I. General information

NPI: 1659536233
Provider Name (Legal Business Name): YUQING ZHANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136-68 ROOSEVELT AVE STE 2A2B
FLUSHING NY
11354-5510
US

IV. Provider business mailing address

136-68 ROOSEVELT AVE STE 2A2B
FLUSHING NY
11354-5510
US

V. Phone/Fax

Practice location:
  • Phone: 347-827-9251
  • Fax: 718-321-7899
Mailing address:
  • Phone: 347-827-9251
  • Fax: 718-321-7899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number260295
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number260295
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: