Provider Demographics
NPI:1659734689
Name:LIANG, HAN ZHANG (PHD)
Entity Type:Individual
Prefix:
First Name:HAN ZHANG
Middle Name:
Last Name:LIANG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:DAVID HAN ZHANG
Other - Middle Name:
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1326 BERGEN ST
Mailing Address - Street 2:TOP FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1530
Mailing Address - Country:US
Mailing Address - Phone:347-721-5697
Mailing Address - Fax:
Practice Address - Street 1:1326 BERGEN ST
Practice Address - Street 2:TOP FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1530
Practice Address - Country:US
Practice Address - Phone:347-721-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21110103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical