Healthcare Provider Details

I. General information

NPI: 1538801105
Provider Name (Legal Business Name): ZHEN ZHU HUANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 CANAL ST
NEW YORK NY
10013-3599
US

IV. Provider business mailing address

9029 55TH AVE FL 3
ELMHURST NY
11373-4560
US

V. Phone/Fax

Practice location:
  • Phone: 646-309-0070
  • Fax:
Mailing address:
  • Phone: 646-309-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421822
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number807376-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: