Healthcare Provider Details

I. General information

NPI: 1023563046
Provider Name (Legal Business Name): LI ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13349 41ST RD APT 2F
FLUSHING NY
11355-3653
US

IV. Provider business mailing address

4664 189TH ST
FLUSHING NY
11358-3833
US

V. Phone/Fax

Practice location:
  • Phone: 631-568-1632
  • Fax:
Mailing address:
  • Phone: 631-568-1632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number009048
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007498
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: