Healthcare Provider Details

I. General information

NPI: 1265917348
Provider Name (Legal Business Name): STEVEN ZHU FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 3RD AVE FL 5
NEW YORK NY
10017-5731
US

IV. Provider business mailing address

1126 71ST ST
BROOKLYN NY
11228-1304
US

V. Phone/Fax

Practice location:
  • Phone: 646-292-3073
  • Fax:
Mailing address:
  • Phone: 917-355-4123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number756363
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number353083
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: