Healthcare Provider Details

I. General information

NPI: 1063998920
Provider Name (Legal Business Name): YULI ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE FL 2
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

212 E 47TH ST APT 15E
NEW YORK NY
10017-2124
US

V. Phone/Fax

Practice location:
  • Phone: 122-263-5898
  • Fax:
Mailing address:
  • Phone: 847-373-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number303876
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: