Individual
TIANHAO ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794
(631) 444-2221
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
294696
NY
Other
Enumeration date
06/24/2010
Last updated
09/19/2018
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