Individual
ZHENGZHUAN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
749 61ST ST, STE 302, BROOKLYN, NY 11220-4211
(718) 676-9398
(718) 676-9397
Mailing address
749 61ST ST, STE 302, BROOKLYN, NY 11220-4211
(718) 676-9398
(718) 676-9397
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
255139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03166694
—
NY
01
—
A400081699
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
NY
Enumeration date
10/22/2009
Last updated
03/29/2019
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