Provider Demographics
NPI:1750542114
Name:YU, ZHONG KANG (LAC)
Entity type:Individual
Prefix:DR
First Name:ZHONG
Middle Name:KANG
Last Name:YU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:ZHONGKANG
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:530 MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4505
Mailing Address - Country:US
Mailing Address - Phone:201-682-7688
Mailing Address - Fax:201-682-7688
Practice Address - Street 1:530 MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4505
Practice Address - Country:US
Practice Address - Phone:201-682-7688
Practice Address - Fax:201-682-7688
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM953171100000X
NJ25MZ001370-00171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty