Provider Demographics
NPI:1235212606
Name:ZHOU, CINDY XIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:XIN
Last Name:ZHOU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:XIN
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:SUITE 6C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4233
Mailing Address - Country:US
Mailing Address - Phone:718-886-8199
Mailing Address - Fax:718-886-8699
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:SUITE 6C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4233
Practice Address - Country:US
Practice Address - Phone:718-886-8199
Practice Address - Fax:718-886-8699
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0468161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01702010Medicaid