Provider Demographics
NPI:1376878868
Name:ZECK, XIN ZHANG (LAC)
Entity Type:Individual
Prefix:
First Name:XIN
Middle Name:ZHANG
Last Name:ZECK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:XIN
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:89 SODOM LN
Mailing Address - Street 2:APT.1
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-2613
Mailing Address - Country:US
Mailing Address - Phone:646-932-1947
Mailing Address - Fax:
Practice Address - Street 1:107 GLENBROOK RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3001
Practice Address - Country:US
Practice Address - Phone:646-932-1947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000451171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist