Healthcare Provider Details

I. General information

NPI: 1639116916
Provider Name (Legal Business Name): XUE-ZHEN ZHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21952 64TH AVE APT.C
OAKLAND GARDENS NY
11364-2246
US

IV. Provider business mailing address

21952 64TH AVE APT.C
OAKLAND GARDENS NY
11364-2246
US

V. Phone/Fax

Practice location:
  • Phone: 718-619-5556
  • Fax: 718-281-2533
Mailing address:
  • Phone: 718-619-5556
  • Fax: 718-281-2533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number221221-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: