MEDICARE: ENYI 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	101YM0800X	Mental Health Counselor	P126276	NY

General Provider Information

NPI Number	:	1982472262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENYI ZHANG

Provider Business Mailing Address
First Line	:	2 CLARISSA DR
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-3711
Country	:	US
Telephone Number	:	423-521-9828
Fax Number	:

Provider Business Practice Location Address
First Line	:	13107 40TH RD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5116
Country	:	US
Telephone Number	:	718-939-3800
Fax Number	:

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

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/15/2023

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Directions to “ ENYI ZHANG ” Practice Location

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