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NPI Code Detail

MEDICARE: DR. YI TY ZHANG DNP

MEDICARE:  DR. YI TY ZHANG  DNP
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
1363L00000XNurse PractitionerSP019841PA

General Provider Information

NPI Number : 1861964264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YI TY ZHANG DNP
Provider Business Mailing Address
First Line : 3509 N BROAD ST # A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-2433
Fax Number :
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number : 215-707-3133
Fax Number : 215-707-3945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2018
Last Update Date : 02/10/2026

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Directions to “ DR. YI TY ZHANG DNP” Practice Location

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