Provider Demographics
NPI:1306079140
Name:ZHANG, AILING
Entity type:Individual
Prefix:
First Name:AILING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2167
Mailing Address - Country:US
Mailing Address - Phone:718-210-1030
Mailing Address - Fax:718-871-0969
Practice Address - Street 1:5008 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2167
Practice Address - Country:US
Practice Address - Phone:718-210-1030
Practice Address - Fax:718-871-0969
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258321207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine