Individual
DUAN ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1599
(631) 928-8383
Mailing address
7501 167TH ST, FRESH MEADOWS, NY 11366-1326
(917) 981-7693
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N007238-01
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N007238-01
NY
213ER0200X
Radiology Podiatrist
N007238-01
NY
213ES0000X
Sports Medicine Podiatrist
N007238-01
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007238-01
NY
213ES0131X
Foot Surgery Podiatrist
N007238-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
09/02/2022
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