Healthcare Provider Details

I. General information

NPI: 1659218287
Provider Name (Legal Business Name): JEFFREY ZHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATION PLZ N STE 509
MINEOLA NY
11501-3893
US

IV. Provider business mailing address

5719 CAMELLIA AVE
TEMPLE CITY CA
91780-2502
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-8794
  • Fax:
Mailing address:
  • Phone: 626-231-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: