Healthcare Provider Details

I. General information

NPI: 1326201716
Provider Name (Legal Business Name): XINHUA ZHU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 11/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 LAKEVILLE RD MONTER CANCER CENTER/NSLIJ HEALTH SYSTEM
NEW HYDE PARK NY
11042-1118
US

IV. Provider business mailing address

450 LAKEVILLE ROAD MONTER CANCER CENTER
NEW HYDE PARK NY
11042
US

V. Phone/Fax

Practice location:
  • Phone: 516-734-8898
  • Fax:
Mailing address:
  • Phone: 516-734-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number257726
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: