Healthcare Provider Details

I. General information

NPI: 1861304875
Provider Name (Legal Business Name): FZ MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6860 AUSTIN ST STE 305
FOREST HILLS NY
11375-4223
US

IV. Provider business mailing address

6860 AUSTIN ST STE 305
FOREST HILLS NY
11375-4223
US

V. Phone/Fax

Practice location:
  • Phone: 718-575-9734
  • Fax:
Mailing address:
  • Phone: 718-575-9734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: FAN ZHANG
Title or Position: DR.
Credential: MD, PHD
Phone: 718-575-9734