Provider Demographics
NPI:1811175946
Name:ZHAO, SHAOLIAN (LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:SHAOLIAN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:ZHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:116 PINEHURST AVE
Mailing Address - Street 2:F44
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1755
Mailing Address - Country:US
Mailing Address - Phone:917-455-0347
Mailing Address - Fax:
Practice Address - Street 1:347 5TH AVE RM 908A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5140
Practice Address - Country:US
Practice Address - Phone:917-455-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000782171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist