Healthcare Provider Details

I. General information

NPI: 1194572990
Provider Name (Legal Business Name): SARAH LEE ZHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 01/15/2025
Certification Date:
Deactivation Date: 01/02/2025
Reactivation Date: 01/15/2025

III. Provider practice location address

100 10TH AVENUE ROOM 2A-05
NEW YORK NY
10011
US

IV. Provider business mailing address

100 10TH AVENUE ROOM 2A-05
NEW YORK NY
10011
US

V. Phone/Fax

Practice location:
  • Phone: 905-599-3882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: