Provider Demographics
NPI:1598729311
Name:FU, CHENZHONG (MD)
Entity type:Individual
Prefix:
First Name:CHENZHONG
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 KISSENA BLVD
Mailing Address - Street 2:APT 6MM
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3165
Mailing Address - Country:US
Mailing Address - Phone:718-785-7516
Mailing Address - Fax:
Practice Address - Street 1:13710 FRANKLIN AVE STE L2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3842
Practice Address - Country:US
Practice Address - Phone:347-732-4297
Practice Address - Fax:347-732-4299
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230470208100000X
NY23047208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation