Provider Demographics
NPI:1073935458
Name:NEW ISLAND MEDICAL PRACTICE, P.C.
Entity Type:Organization
Organization Name:NEW ISLAND MEDICAL PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIANPING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-996-9010
Mailing Address - Street 1:87 ARLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1442
Mailing Address - Country:US
Mailing Address - Phone:516-996-9010
Mailing Address - Fax:516-570-2490
Practice Address - Street 1:13107 40TH RD STE E22
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5270
Practice Address - Country:US
Practice Address - Phone:718-939-3800
Practice Address - Fax:718-939-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-20
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty