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NPI Code Detail

MEDICARE: MRS. MING YI ZHU L.AC.

MEDICARE: MRS. MING YI ZHU 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
1171100000XAcupuncturist002190NY

General Provider Information

NPI Number : 1457683294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MING YI ZHU L.AC.
Provider Business Mailing Address
First Line : 251 W 87TH ST OFC 21
Second Line :
City : NEW YORK
State : NY
Zip : 10024-2716
Country : US
Telephone Number : 917-622-3161
Fax Number : 212-675-9381
Provider Business Practice Location Address
First Line : 12 W 27TH ST FL 9
Second Line : BETWEEN BROADWAY & 6 AVE.
City : NEW YORK
State : NY
Zip : 10001-6903
Country : US
Telephone Number : 917-622-3161
Fax Number : 212-675-9381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 02/04/2010

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