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NPI Code Detail

MEDICARE: MIN ZHANG O.D

MEDICARE: MIN ZHANG O.D
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
1152W00000XOptometristTUV007560NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TUV007560OTHERNYLICENSE

General Provider Information

NPI Number : 1659685527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIN ZHANG O.D
Provider Business Mailing Address
First Line : 13620 MAPLE AVE # C701
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5166
Country : US
Telephone Number : 917-621-9283
Fax Number : 347-510-0088
Provider Business Practice Location Address
First Line : 13620 MAPLE AVE # C701
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5166
Country : US
Telephone Number : 917-621-9283
Fax Number : 347-510-0088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 12/17/2023

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