Provider Demographics
NPI:1235342387
Name:ZHANG, TING TING (DPM)
Entity Type:Individual
Prefix:DR
First Name:TING
Middle Name:TING
Last Name:ZHANG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2011
Mailing Address - Country:US
Mailing Address - Phone:201-982-1762
Mailing Address - Fax:718-445-3336
Practice Address - Street 1:3916 PRINCE ST STE 151
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5367
Practice Address - Country:US
Practice Address - Phone:718-445-3338
Practice Address - Fax:718-445-3336
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD002916000213E00000X
NYN006217-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist