Provider Demographics
NPI:1730391145
Name:ZHANG, JING ZHENG
Entity type:Individual
Prefix:MR
First Name:JING
Middle Name:ZHENG
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 AVENUE L # 2
Mailing Address - Street 2:A8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4463
Mailing Address - Country:US
Mailing Address - Phone:718-253-1118
Mailing Address - Fax:
Practice Address - Street 1:1800 AVENUE L # 2
Practice Address - Street 2:A8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4463
Practice Address - Country:US
Practice Address - Phone:718-253-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001395171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001395OtherLICENSE OF ACUPUNCTURE