Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F310623-01 | NY |
NPI | 1013674464 |
---|---|
Provider Name | Ms. Joyce Xiang Zhao |
First Address | Brooklyn, NY 11226-2986 |
Second Address | Brooklyn, NY 11226-2986 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2021 |
Last Update Date | 19/11/2021 |