MEDICARE: YANG YANG ZUCCO I

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	002256	NY

General Provider Information

NPI Number	:	1821638453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANG YANG ZUCCO I

Provider Business Mailing Address
First Line	:	251 BAY 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6003
Country	:	US
Telephone Number	:	516-737-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 BAY 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6003
Country	:	US
Telephone Number	:	516-737-3755
Fax Number	:

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

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	01/12/2020

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Directions to “ YANG YANG ZUCCO I ” Practice Location

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