MEDICARE: LING ZHENG L. AC

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	171100000X	Acupuncturist	000494	NY

General Provider Information

NPI Number	:	1265701585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LING ZHENG L. AC

Provider Business Mailing Address
First Line	:	14 E 34TH ST FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-4340
Country	:	US
Telephone Number	:	212-689-1773
Fax Number	:	212-689-1898

Provider Business Practice Location Address
First Line	:	14 E 34TH ST FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-4340
Country	:	US
Telephone Number	:	212-689-1773
Fax Number	:	212-689-1898

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

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	12/15/2011

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