Provider Demographics
NPI:1649575234
Name:GENGHUI ZHU MEDICAL PC
Entity Type:Organization
Organization Name:GENGHUI ZHU MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENGHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:877-216-2916
Mailing Address - Street 1:55 WESTWOOD DR
Mailing Address - Street 2:90
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1612
Mailing Address - Country:US
Mailing Address - Phone:516-359-5370
Mailing Address - Fax:
Practice Address - Street 1:14022 BEECH AVE
Practice Address - Street 2:2C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2821
Practice Address - Country:US
Practice Address - Phone:877-216-2916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249189207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty