Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 213727 | NY |
NPI | 1013995836 |
---|---|
Provider Name | Dr. Victoria Zhang |
First Address | New York, NY 10013-4607 |
Second Address | New York, NY 10013-4607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 21/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02150801 | (05) | NY |
H38906 | (02) | NY |