MEDICARE: CHANG BI ZOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	020055	NY

General Provider Information

NPI Number	:	1073061164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANG BI ZOU

Provider Business Mailing Address
First Line	:	4199 MAIN ST STE 201
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5164
Country	:	US
Telephone Number	:	718-961-1836
Fax Number	:

Provider Business Practice Location Address
First Line	:	4199 MAIN ST STE 201
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5164
Country	:	US
Telephone Number	:	718-961-1897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2016
Last Update Date	:	10/06/2022

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Directions to “ CHANG BI ZOU ” Practice Location

Language	Start Address	Practice Location

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