Healthcare Provider Details

I. General information

NPI: 1528080801
Provider Name (Legal Business Name): MISS ZHANG FANG TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIA FANG ZHANG N/A

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 MCKINNEY LN STE 227 PARKWAY CENTER MALL
PITTSBURGH PA
15220-3417
US

IV. Provider business mailing address

1165 MCKINNEY LN STE 227 PARKWAY CENTER MALL
PITTSBURGH PA
15220-3417
US

V. Phone/Fax

Practice location:
  • Phone: 412-937-1112
  • Fax: 412-937-1806
Mailing address:
  • Phone: 412-937-1112
  • Fax: 412-937-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: