Individual
SU ZHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
550 ORCHARD PARK ROAD, BUILDING C, WEST SENECA, NY 14224-2646
(716) 677-2700
(716) 677-2433
Mailing address
338 HARRIS HILL ROAD, SUITE 207, WILLIAMSVILLE, NY 14221-7470
(716) 634-4798
(716) 634-0987
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
257677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03114023
—
NY
Enumeration date
03/26/2009
Last updated
01/31/2012
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