Healthcare Provider Details

I. General information

NPI: 1508251679
Provider Name (Legal Business Name): CATHERINE ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2015
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 W 168TH ST PH5-133 STEM
NEW YORK NY
10032-3720
US

IV. Provider business mailing address

14737 ROOSEVELT AVE APT 4G
FLUSHING NY
11354-4743
US

V. Phone/Fax

Practice location:
  • Phone: 347-625-7084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA12072600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number298899
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: