Provider Demographics
NPI:1407251283
Name:ZHANG, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14210B ROOSEVELT AVE STE P24
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6000
Mailing Address - Country:US
Mailing Address - Phone:718-799-0199
Mailing Address - Fax:718-799-0739
Practice Address - Street 1:14210B ROOSEVELT AVE STE P24
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6000
Practice Address - Country:US
Practice Address - Phone:187-990-1997
Practice Address - Fax:718-799-0739
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283499207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine