MEDICARE: XIAOXIN 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
1	171100000X	Acupuncturist	000964	NY

General Provider Information

NPI Number	:	1871664599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOXIN ZHANG

Provider Business Mailing Address
First Line	:	1906 KINGS HWY
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1314
Country	:	US
Telephone Number	:	718-627-6812
Fax Number	:	661-885-7045

Provider Business Practice Location Address
First Line	:	1906 KINGS HWY
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1314
Country	:	US
Telephone Number	:	718-627-6812
Fax Number	:	661-885-7045

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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