Provider Demographics
NPI:1316413537
Name:ZHOU, ZHENYU (MD, PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:ZHENYU
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:MD, PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CLINTON PL APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6317
Mailing Address - Country:US
Mailing Address - Phone:914-841-5078
Mailing Address - Fax:
Practice Address - Street 1:35 CLINTON PL APT 4F
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6317
Practice Address - Country:US
Practice Address - Phone:914-841-5078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006390171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY613581655OtherDRIVER LICENSE