Healthcare Provider Details

I. General information

NPI: 1528994035
Provider Name (Legal Business Name): EDWARD ZHU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 PROSPECT AVE
MIDDLETOWN NY
10940-4133
US

IV. Provider business mailing address

2043 W 13TH ST FL 2
BROOKLYN NY
11223-3427
US

V. Phone/Fax

Practice location:
  • Phone: 845-648-1100
  • Fax:
Mailing address:
  • Phone: 347-536-0593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: