Healthcare Provider Details

I. General information

NPI: 1548508997
Provider Name (Legal Business Name): HAN ZHANG RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTY ZHANG RN, FNP-BC

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6318 AUSTIN ST
REGO PARK NY
11374-2923
US

IV. Provider business mailing address

33 W 46TH ST FL 4W
NEW YORK NY
10036-4103
US

V. Phone/Fax

Practice location:
  • Phone: 718-275-7860
  • Fax:
Mailing address:
  • Phone: 646-722-6214
  • Fax: 646-722-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340325
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number658481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: