Basic Information
Provider Information
NPI: 1053638676
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHOU
FirstName: ZIMEI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1650 SELWYN AVE
Address2: #1C
City: BRONX
State: NY
PostalCode: 104577626
CountryCode: US
TelephoneNumber: 7189927669
FaxNumber:  
Practice Location
Address1: 1650 SELWYN AVE
Address2: #1C
City: BRONX
State: NY
PostalCode: 104577626
CountryCode: US
TelephoneNumber: 3138064167
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/21/2010
LastUpdateDate: 04/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207WX0107X283741NYN    
207W00000X283741NYY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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