MEDICARE: ZHENG HAN

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	363A00000X	Physician Assistant	020375-1	NY

General Provider Information

NPI Number	:	1689112757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHENG HAN

Provider Business Mailing Address
First Line	:	3907 PRINCE ST STE 3A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5321
Country	:	US
Telephone Number	:	718-661-1783
Fax Number	:	718-661-1772

Provider Business Practice Location Address
First Line	:	3907 PRINCE ST STE 3A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5321
Country	:	US
Telephone Number	:	718-661-1783
Fax Number	:	718-661-1772

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

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	02/08/2017

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Directions to “ ZHENG HAN ” Practice Location

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