Provider Demographics
NPI:1518390699
Name:ZUO, QIAN
Entity Type:Individual
Prefix:MS
First Name:QIAN
Middle Name:
Last Name:ZUO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21941 67TH AVE
Mailing Address - Street 2:2F
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2638
Mailing Address - Country:US
Mailing Address - Phone:347-886-7208
Mailing Address - Fax:
Practice Address - Street 1:241 W 37TH ST
Practice Address - Street 2:SUITE 405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-5705
Practice Address - Country:US
Practice Address - Phone:347-886-7208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005090171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist