Healthcare Provider Details

I. General information

NPI: 1356292007
Provider Name (Legal Business Name): MAGGIE ZOU
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7706 101ST AVE
OZONE PARK NY
11416-1914
US

IV. Provider business mailing address

10761 77TH ST
OZONE PARK NY
11417-1102
US

V. Phone/Fax

Practice location:
  • Phone: 516-283-2584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073615
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: