Provider Demographics
NPI:1821481896
Name:ZHAO, GUIYU (NP)
Entity Type:Individual
Prefix:
First Name:GUIYU
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 76TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2407
Mailing Address - Country:US
Mailing Address - Phone:718-232-1069
Mailing Address - Fax:718-567-2332
Practice Address - Street 1:763 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3594
Practice Address - Country:US
Practice Address - Phone:718-567-3667
Practice Address - Fax:718-567-2332
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306488363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health