Basic Information
| Provider Information | |||||||||
| NPI: | 1578695730 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZHU | ||||||||
| FirstName: | HONGFA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 651 WYNDEMERE AVE | ||||||||
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| City: | RIDGEWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074503552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016521277 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 GUSTAVE L LEVY PL | ||||||||
| Address2: | ANNENBERG BUILDING, 15TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122418014 | ||||||||
| FaxNumber: | 2125347491 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 240862 | NY | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.