Healthcare Provider Details

I. General information

NPI: 1063375020
Provider Name (Legal Business Name): LINGEN ZOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14326 41ST AVE
FLUSHING NY
11355-1806
US

IV. Provider business mailing address

14326 41ST AVE
FLUSHING NY
11355-1806
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-9512
  • Fax:
Mailing address:
  • Phone: 718-888-9512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007831
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: