Healthcare Provider Details

I. General information

NPI: 1316413537
Provider Name (Legal Business Name): ZHENYU ZHOU MD, PHD, LA.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 56TH ST APT 1E
NEW YORK NY
10022-3632
US

IV. Provider business mailing address

150 E 56TH ST APT 1E
NEW YORK NY
10022-3632
US

V. Phone/Fax

Practice location:
  • Phone: 914-841-5078
  • Fax: 646-799-9445
Mailing address:
  • Phone: 914-841-5078
  • Fax: 646-799-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number006390
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: