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NPI Code Detail

MEDICARE: DR. FENGYU ZHAO L.AC., PH.D

MEDICARE: DR. FENGYU ZHAO L.AC., PH.D
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
1171100000XAcupuncturist003577NY

General Provider Information

NPI Number : 1467618652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FENGYU ZHAO L.AC., PH.D
Provider Business Mailing Address
First Line : 707 MIDDLE NECK RD
Second Line :
City : GREAT NECK
State : NY
Zip : 11024-1935
Country : US
Telephone Number : 347-654-9243
Fax Number : 516-466-3951
Provider Business Practice Location Address
First Line : 707 MIDDLE NECK RD
Second Line :
City : GREAT NECK
State : NY
Zip : 11024-1935
Country : US
Telephone Number : 347-654-9243
Fax Number : 516-466-3951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 02/21/2025

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