Provider Demographics
NPI:1720299852
Name:ZHANG, QI (LAC)
Entity Type:Individual
Prefix:DR
First Name:QI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13446 MAPLE AVE APT 7C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4572
Mailing Address - Country:US
Mailing Address - Phone:718-539-8254
Mailing Address - Fax:
Practice Address - Street 1:1133 BROADWAY STE 1119
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7983
Practice Address - Country:US
Practice Address - Phone:646-638-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00754171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist