Provider Demographics
NPI:1811999238
Name:ZHOU, XIAOJUN (LAC)
Entity type:Individual
Prefix:MR
First Name:XIAOJUN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
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:PO BOX 8070
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11352-8070
Mailing Address - Country:US
Mailing Address - Phone:718-496-0018
Mailing Address - Fax:
Practice Address - Street 1:13329 41ST RD
Practice Address - Street 2:SUIT 1A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3670
Practice Address - Country:US
Practice Address - Phone:718-939-4166
Practice Address - Fax:718-939-4167
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003008171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist