Provider Demographics
NPI:1457683294
Name:ZHU, MING YI (LAC)
Entity Type:Individual
Prefix:MRS
First Name:MING
Middle Name:YI
Last Name:ZHU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W 87TH ST OFC 21
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2716
Mailing Address - Country:US
Mailing Address - Phone:917-622-3161
Mailing Address - Fax:212-675-9381
Practice Address - Street 1:12 W 27TH ST FL 9
Practice Address - Street 2:BETWEEN BROADWAY & 6 AVE.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6903
Practice Address - Country:US
Practice Address - Phone:917-622-3161
Practice Address - Fax:212-675-9381
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002190171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist