Provider Demographics
NPI:1821638453
Name:ZUCCO, YANG YANG I
Entity Type:Individual
Prefix:
First Name:YANG YANG
Middle Name:
Last Name:ZUCCO
Suffix:I
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 1:251 BAY 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6003
Mailing Address - Country:US
Mailing Address - Phone:516-737-3755
Mailing Address - Fax:
Practice Address - Street 1:251 BAY 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6003
Practice Address - Country:US
Practice Address - Phone:516-737-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-12
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002256171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist