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NPI Code Detail

MEDICARE: MR. JING ZHENG ZHANG

MEDICARE: MR. JING ZHENG ZHANG
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
1171100000XAcupuncturist001395NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001395OTHERNYLICENSE OF ACUPUNCTURE

General Provider Information

NPI Number : 1730391145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JING ZHENG ZHANG
Provider Business Mailing Address
First Line : 1800 AVENUE L # 2
Second Line : A8
City : BROOKLYN
State : NY
Zip : 11230-4463
Country : US
Telephone Number : 718-253-1118
Fax Number :
Provider Business Practice Location Address
First Line : 1800 AVENUE L # 2
Second Line : A8
City : BROOKLYN
State : NY
Zip : 11230-4463
Country : US
Telephone Number : 718-253-1118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2007
Last Update Date : 07/08/2007

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