Provider Demographics
NPI:1912189846
Name:ZHANG, SHUYI (MD ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:SHUYI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ASH PLACE
Mailing Address - Street 2:#5
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-487-6130
Mailing Address - Fax:516-482-2480
Practice Address - Street 1:1 ASH PLACE
Practice Address - Street 2:SUITE 5
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-487-6130
Practice Address - Fax:516-482-2480
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0003321171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY443204OtherOXFORD HEALTHCARE
NY000332OtherLANDMARK INS
NY681774OtherACN GROUP