Healthcare Provider Details

I. General information

NPI: 1871666453
Provider Name (Legal Business Name): JOHN J ZHANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 COLUMBUS CIRCLE SUITE 4TH FLOOR
NEW YORK NY
10019
US

IV. Provider business mailing address

4 COLUMBUS CIRCLE SUITE 4TH FLOOR
NEW YORK NY
10019
US

V. Phone/Fax

Practice location:
  • Phone: 212-517-7676
  • Fax: 212-489-6294
Mailing address:
  • Phone: 212-517-7676
  • Fax: 212-489-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number218321
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: