Provider Demographics
NPI:1710176227
Name:ZHONG, ZHI YUAN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:ZHI YUAN
Middle Name:
Last Name:ZHONG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23938 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1923
Mailing Address - Country:US
Mailing Address - Phone:917-385-1567
Mailing Address - Fax:
Practice Address - Street 1:33 WALT WHITMAN RD STE 100A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3631
Practice Address - Country:US
Practice Address - Phone:631-271-3310
Practice Address - Fax:631-271-3188
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-21
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001607171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist