Provider Demographics
NPI:1881914224
Name:ZHANG, YI LILY (LAC, PT, DPT)
Entity type:Individual
Prefix:MS
First Name:YI LILY
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC, PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 93RD ST APT 3M
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1900
Mailing Address - Country:US
Mailing Address - Phone:347-666-3756
Mailing Address - Fax:
Practice Address - Street 1:1429 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3302
Practice Address - Country:US
Practice Address - Phone:646-888-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015633-1225100000X
NY002081-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist