MEDICARE: ZHENTAO WU L. AC

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
1	171100000X	Acupuncturist	002893	NY

General Provider Information

NPI Number	:	1871918086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHENTAO WU L. AC

Provider Business Mailing Address
First Line	:	900B EAST TREMONT AVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 E TREMONT AVE
Second Line	:	# B
City	:	BRONX
State	:	NY
Zip	:	10460-4355
Country	:	US
Telephone Number	:	347-918-8822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	02/25/2014

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