MEDICARE: TONY ZHOU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2083C0008X	Clinical Informatics Physician	299042	NY

General Provider Information

NPI Number	:	1215381314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONY ZHOU MD

Provider Business Mailing Address
First Line	:	5517 7TH AVE APT 1F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5517 7TH AVE APT 1F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3519
Country	:	US
Telephone Number	:	718-871-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	08/25/2021

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