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NPI Code Detail

MEDICARE: JIAXUN ZOU

MEDICARE: JIAXUN ZOU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse862078NY
2363LF0000XFamily Nurse Practitioner352177NY

General Provider Information

NPI Number : 1659064194
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAXUN ZOU
Provider Business Mailing Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 917-508-5888
Fax Number :
Provider Business Practice Location Address
First Line : 5604 7TH AVE STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4660
Country : US
Telephone Number : 216-688-5629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 11/22/2023

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Directions to “ JIAXUN ZOU ” Practice Location

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