Healthcare Provider Details

I. General information

NPI: 1992190839
Provider Name (Legal Business Name): TING ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 1ST AVE
NEW YORK NY
10065-6038
US

IV. Provider business mailing address

1161 YORK AVE APT 5C
NEW YORK NY
10065-7969
US

V. Phone/Fax

Practice location:
  • Phone: 512-914-3681
  • Fax:
Mailing address:
  • Phone: 512-914-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number25MA11785600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number321583-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: