Provider Demographics
NPI:1316412315
Name:ZHIYOU ZHANG MEDICINE PC
Entity type:Organization
Organization Name:ZHIYOU ZHANG MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHIYOU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-877-2268
Mailing Address - Street 1:118 STRATFORD N
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2316
Mailing Address - Country:US
Mailing Address - Phone:516-626-1610
Mailing Address - Fax:516-626-1610
Practice Address - Street 1:8705 19TH AVE # 1STF
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3813
Practice Address - Country:US
Practice Address - Phone:718-256-5608
Practice Address - Fax:718-256-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty