Provider Demographics
NPI:1205172434
Name:ZHU, PING (ACUPUNCTURE)
Entity type:Individual
Prefix:
First Name:PING
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-2117
Mailing Address - Country:US
Mailing Address - Phone:516-827-0887
Mailing Address - Fax:516-827-0887
Practice Address - Street 1:55 N BROADWAY STE 106
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2929
Practice Address - Country:US
Practice Address - Phone:516-827-0887
Practice Address - Fax:516-827-0887
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-15
Last Update Date:2012-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000441171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY562387855OtherNATURE VITALITY ACUPUNCTURE PC