Provider Demographics
NPI:1083634166
Name:ZHOU, GUOPING (MD)
Entity Type:Individual
Prefix:
First Name:GUOPING
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5758 HEWLETT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2231
Mailing Address - Country:US
Mailing Address - Phone:718-352-9358
Mailing Address - Fax:
Practice Address - Street 1:1827 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3826
Practice Address - Country:US
Practice Address - Phone:212-722-1441
Practice Address - Fax:212-722-1445
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2250042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02324743Medicaid
NY482N11Medicare ID - Type UnspecifiedNEUROLOGY
NYH62619Medicare UPIN