Individual
MR. JIAN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Mailing address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2344731
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
2344731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10095329
CDPHP
NY
05
—
2623229
—
NY
01
—
4141638
MVP
NY
Enumeration date
08/22/2006
Last updated
03/29/2011
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