Healthcare Provider Details

I. General information

NPI: 1417283672
Provider Name (Legal Business Name): PING ZHONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 CENTRE ST FL 2
NEW YORK NY
10013-3624
US

IV. Provider business mailing address

350 CANAL ST UNIT 96
NEW YORK NY
10013-9404
US

V. Phone/Fax

Practice location:
  • Phone: 917-886-5969
  • Fax:
Mailing address:
  • Phone: 917-886-5969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003110
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: