Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005547 | NY |
NPI | 1306882444 |
---|---|
Provider Name | Jian Zhang |
First Address | Ossining, NY 10562-1641 |
Second Address | Bronx, NY 10461-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 02/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02377219 | (05) | NY |
U75283 | (02) | NY |