Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 292345-1 | NY |
NPI | 1023435948 |
---|---|
Provider Name | Di Zhou |
First Address | Garden City, NY 11530-6723 |
Second Address | Garden City, NY 11530-6723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 18/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03639512 | (05) | NY |