MEDICARE: DR. TING TING ZHANG D.P.M.

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	213E00000X	Podiatrist	25MD002916000	NJ
2	213E00000X	Podiatrist	N006217-1	NY

General Provider Information

NPI Number	:	1235342387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TING TING ZHANG D.P.M.

Provider Business Mailing Address
First Line	:	94 GEORGE ST
Second Line	:
City	:	TENAFLY
State	:	NJ
Zip	:	07670-2011
Country	:	US
Telephone Number	:	201-982-1762
Fax Number	:	718-445-3336

Provider Business Practice Location Address
First Line	:	3916 PRINCE ST STE 151
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5367
Country	:	US
Telephone Number	:	718-445-3338
Fax Number	:	718-445-3336

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	09/04/2020

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