Healthcare Provider Details

I. General information

NPI: 1396601506
Provider Name (Legal Business Name): MS. HONGYAN ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 68 ROOSEVELT AVENUE SUITE 5C
FLUSHING NY
11354
US

IV. Provider business mailing address

4321 MARATHON PKWY
LITTLE NECK NY
11363-1936
US

V. Phone/Fax

Practice location:
  • Phone: 929-391-4023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: