Provider Demographics
NPI:1013674464
Name:ZHAO, JOYCE XIANG (MSN, RN, AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:XIANG
Last Name:ZHAO
Suffix:
Gender:F
Credentials:MSN, RN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 BEDFORD AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2986
Mailing Address - Country:US
Mailing Address - Phone:917-292-1965
Mailing Address - Fax:
Practice Address - Street 1:2100 BEDFORD AVE APT 3G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2986
Practice Address - Country:US
Practice Address - Phone:917-292-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF310623-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health