Individual
CHARLIE ZHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST MAIN STREET, MEDICAL AFFAIRS, MT. KISCO, NY 10549
(914) 666-1200
(914) 666-1965
Mailing address
400 EAST MAIN STREET, MEDICAL AFFAIRS, MT. KISCO, NY 10549
(914) 666-1200
(914) 666-1965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
296844
NY
207Q00000X
Family Medicine Physician
64661
CT
208M00000X
Hospitalist Physician
Primary
296844
NY
208M00000X
Hospitalist Physician
64661
CT
Other
Enumeration date
03/30/2015
Last updated
02/25/2020
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