MEDICARE: QIUYI ZHANG

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	183500000X	Pharmacist	069701	NY

General Provider Information

NPI Number	:	1972384360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QIUYI ZHANG

Provider Business Mailing Address
First Line	:	4559 172ND ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-3335
Country	:	US
Telephone Number	:	716-817-3213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 CASTLE HILL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4804
Country	:	US
Telephone Number	:	347-425-2843
Fax Number	:

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

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	10/11/2023

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Directions to “ QIUYI ZHANG ” Practice Location

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