Healthcare Provider Details

I. General information

NPI: 1972303279
Provider Name (Legal Business Name): HUILING ZHOU FNP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CENTRE ST STE 709
NEW YORK NY
10013-4557
US

IV. Provider business mailing address

4725 40TH ST APT 1J
SUNNYSIDE NY
11104-4011
US

V. Phone/Fax

Practice location:
  • Phone: 212-965-0496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF356366
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: