Basic Information
| Provider Information | |||||||||
| NPI: | 1477681559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHANG | ||||||||
| FirstName: | CHENYANG | ||||||||
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| Credential: | R-PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8424 55TH RD # 2FL | ||||||||
| Address2: | |||||||||
| City: | ELMHURST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113734812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184296997 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1825 EASTCHESTER RD # 7NW | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104612301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189043101 | ||||||||
| FaxNumber: | 7189042827 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 011755 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.