Provider Demographics
NPI:1669701579
Name:ZOU, CHANG XIAN (LAC)
Entity type:Individual
Prefix:
First Name:CHANG XIAN
Middle Name:
Last Name:ZOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8 CHATHAM SQ
Mailing Address - Street 2:SUITE 707
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:212-962-0711
Mailing Address - Fax:212-962-0822
Practice Address - Street 1:8 CHATHAM SQ
Practice Address - Street 2:SUITE 707
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-962-0711
Practice Address - Fax:212-962-0822
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY003672171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist