Provider Demographics
NPI:1255807095
Name:ZOU, SHENG JIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHENG
Middle Name:JIA
Last Name:ZOU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4245 KISSENA BLVD APT 5H
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3250
Mailing Address - Country:US
Mailing Address - Phone:718-885-5856
Mailing Address - Fax:
Practice Address - Street 1:4245 KISSENA BLVD APT 5H
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3250
Practice Address - Country:US
Practice Address - Phone:718-885-5856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064905183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist