Provider Demographics
NPI:1750602272
Name:ZHONG, ZHI (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ZHI
Middle Name:
Last Name:ZHONG
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1968 VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1514
Mailing Address - Country:US
Mailing Address - Phone:631-234-9417
Mailing Address - Fax:632-234-4054
Practice Address - Street 1:1968 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1514
Practice Address - Country:US
Practice Address - Phone:631-234-9417
Practice Address - Fax:632-234-4054
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY056779OtherNYS BOARD OF PHARMACY