Provider Demographics
NPI:1003874835
Name:ZHOU, YOUNG T (MD)
Entity Type:Individual
Prefix:
First Name:YOUNG
Middle Name:T
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NORTHPOINTE PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-6801
Mailing Address - Country:US
Mailing Address - Phone:716-529-3990
Mailing Address - Fax:716-529-3992
Practice Address - Street 1:2605 HARLEM RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-4018
Practice Address - Country:US
Practice Address - Phone:716-891-2715
Practice Address - Fax:716-529-3992
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218772207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH25356Medicare UPIN
NYCC2207Medicare ID - Type Unspecified