Provider Demographics
NPI:1972990935
Name:ZHOU-DENG, XIN YA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:XIN
Middle Name:YA
Last Name:ZHOU-DENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-1716
Mailing Address - Country:US
Mailing Address - Phone:201-288-5500
Mailing Address - Fax:201-288-2172
Practice Address - Street 1:151 BOULEVARD
Practice Address - Street 2:
Practice Address - City:HASBROUCK HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07604-1716
Practice Address - Country:US
Practice Address - Phone:201-288-5500
Practice Address - Fax:201-288-2172
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03686100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist