Healthcare Provider Details

I. General information

NPI: 1528191848
Provider Name (Legal Business Name): MANHATTAN ADVANCED MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CANAL ST STE 305
NEW YORK NY
10013-4537
US

IV. Provider business mailing address

185 CANAL ST STE 305
NEW YORK NY
10013-4537
US

V. Phone/Fax

Practice location:
  • Phone: 212-966-8286
  • Fax: 212-966-8819
Mailing address:
  • Phone: 212-966-8286
  • Fax: 212-966-8819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number233182
License Number StateNY

VIII. Authorized Official

Name: DR. DENING ZHU
Title or Position: DR.
Credential: M.D.
Phone: 212-966-8286