Provider Demographics
NPI:1003995002
Name:ZHAN, JAMES Y (LAC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:Y
Last Name:ZHAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8962 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-5700
Mailing Address - Country:US
Mailing Address - Phone:716-297-7669
Mailing Address - Fax:716-297-4995
Practice Address - Street 1:8962 PORTER RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-5700
Practice Address - Country:US
Practice Address - Phone:716-297-7669
Practice Address - Fax:716-297-4995
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001170171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist