Provider Demographics
NPI:1366737314
Name:ZHANG, KAI (FNP)
Entity type:Individual
Prefix:
First Name:KAI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13443 MAPLE AVE STE C1D
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4780
Mailing Address - Country:US
Mailing Address - Phone:718-886-7588
Mailing Address - Fax:718-886-7580
Practice Address - Street 1:13443 MAPLE AVE STE C1D
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4780
Practice Address - Country:US
Practice Address - Phone:718-886-7588
Practice Address - Fax:718-886-7580
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily