Provider Demographics
NPI:1063507747
Name:WANG, ZHAO HUI (MD)
Entity type:Individual
Prefix:
First Name:ZHAO
Middle Name:HUI
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 EAST 76TH STREET
Mailing Address - Street 2:APT A302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0245
Mailing Address - Country:US
Mailing Address - Phone:718-833-9828
Mailing Address - Fax:718-833-9827
Practice Address - Street 1:620 60TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4109
Practice Address - Country:US
Practice Address - Phone:718-765-9180
Practice Address - Fax:718-765-9181
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240727174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY240727OtherLICENSE