Healthcare Provider Details

I. General information

NPI: 1780461863
Provider Name (Legal Business Name): XIAOYANG ZHOU AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 STEWART AVE STE 100
GARDEN CITY NY
11530-4771
US

IV. Provider business mailing address

623 STEWART AVE STE 100
GARDEN CITY NY
11530-4771
US

V. Phone/Fax

Practice location:
  • Phone: 516-464-6888
  • Fax: 516-464-6890
Mailing address:
  • Phone: 516-464-6888
  • Fax: 516-464-6890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007389
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: