1891999371 NPI number — MING ZHU M.D.P.C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891999371 NPI number — MING ZHU M.D.P.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MING ZHU M.D.P.C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891999371
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
136-20 38TH AVENUE
Provider Second Line Business Mailing Address:
SUITE 5J
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11354-4232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-661-2108
Provider Business Mailing Address Fax Number:
718-661-2109

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
136-20 38TH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 5J
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354-4232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-661-2108
Provider Business Practice Location Address Fax Number:
718-661-2109
Provider Enumeration Date:
06/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ZHU
Authorized Official First Name:
MING
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-661-2108

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  200038 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com