MEDICARE: MR. MING DENG ZHANG L.AC

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	004262-1	NY

General Provider Information

NPI Number	:	1881976728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MING DENG ZHANG L.AC

Provider Business Mailing Address
First Line	:	2472 WEST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5918
Country	:	US
Telephone Number	:	917-558-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2472 WEST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5918
Country	:	US
Telephone Number	:	917-558-7348
Fax Number	:

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

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	09/16/2011

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