=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962813378
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HONGWEI ZHANG MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2014
-----------------------------------------------------
Last Update Date | 05/20/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 41-25 KISSENA BLVD APT 6MM
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11355-3165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-923-5198
-----------------------------------------------------
Fax | 347-732-4299
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 41-25 KISSENA BLVD APT 6MM
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11355-3165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-923-5198
-----------------------------------------------------
Fax | 347-732-4299
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 274824
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------