Healthcare Provider Details

I. General information

NPI: 1508566522
Provider Name (Legal Business Name): WENHUI ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9315 ROOSEVELT AVE
JACKSON HEIGHTS NY
11372-7943
US

IV. Provider business mailing address

4167 JUDGE ST APT 3D
ELMHURST NY
11373-2411
US

V. Phone/Fax

Practice location:
  • Phone: 718-478-6863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number070017
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: