Provider Demographics
NPI:1427663574
Name:MIKE ZHANG
Entity type:Organization
Organization Name:MIKE ZHANG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:516-208-5388
Mailing Address - Street 1:967 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1620
Mailing Address - Country:US
Mailing Address - Phone:917-399-5277
Mailing Address - Fax:
Practice Address - Street 1:46 E PARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3503
Practice Address - Country:US
Practice Address - Phone:516-208-5388
Practice Address - Fax:516-665-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty