MEDICARE: ERIC YUANCHUN ZHOU MD

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	207RN0300X	Nephrology Physician	230718	NY
2	207R00000X	Internal Medicine Physician	230718	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689674855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC YUANCHUN ZHOU MD

Provider Business Mailing Address
First Line	:	39 EAST BROADWAY
Second Line	:	SUITE 307
City	:	NEW YORK
State	:	NY
Zip	:	10002
Country	:	US
Telephone Number	:	212-766-8168
Fax Number	:	212-766-8169

Provider Business Practice Location Address
First Line	:	98 E BROADWAY FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-7181
Country	:	US
Telephone Number	:	212-966-2699
Fax Number	:	212-966-1206

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/17/2020

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