MEDICARE: YAN FANG ZHAO NP

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	363LA2200X	Adult Health Nurse Practitioner	F312461	NY

General Provider Information

NPI Number	:	1730048141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAN FANG ZHAO NP

Provider Business Mailing Address
First Line	:	1210 ASTORIA PARK S APT 3H
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3789
Country	:	US
Telephone Number	:	917-291-8752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 ASTORIA PARK S APT 3H
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3789
Country	:	US
Telephone Number	:	917-291-8752
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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