Provider Demographics
NPI:1639116916
Name:ZHANG, XUE-ZHEN (MD)
Entity Type:Individual
Prefix:
First Name:XUE-ZHEN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21952 64TH AVE
Mailing Address - Street 2:APT.C
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2246
Mailing Address - Country:US
Mailing Address - Phone:718-619-5556
Mailing Address - Fax:718-281-2533
Practice Address - Street 1:21952 64TH AVE
Practice Address - Street 2:APT.C
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2246
Practice Address - Country:US
Practice Address - Phone:718-619-5556
Practice Address - Fax:718-281-2533
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221221-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02170198Medicaid