Healthcare Provider Details

I. General information

NPI: 1386784452
Provider Name (Legal Business Name): RONG BING ZHU L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E BROADWAY STE 501
NEW YORK NY
10002-6994
US

IV. Provider business mailing address

17 E BROADWAY # 501
NEW YORK NY
10002-6994
US

V. Phone/Fax

Practice location:
  • Phone: 212-406-2439
  • Fax: 212-962-6633
Mailing address:
  • Phone: 212-406-2439
  • Fax: 212-962-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: