Provider Demographics
NPI:1912906546
Name:ZHANG, DAVID YONG (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:YONG
Last Name:ZHANG
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 1:4218 162ND ST APT 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-4161
Mailing Address - Country:US
Mailing Address - Phone:718-463-4888
Mailing Address - Fax:718-463-4889
Practice Address - Street 1:4218 162ND ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-4161
Practice Address - Country:US
Practice Address - Phone:718-463-4888
Practice Address - Fax:718-463-4889
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211831207ZC0500X, 2083X0100X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01Q901Medicare ID - Type Unspecified
NYH27883Medicare UPIN