Healthcare Provider Details

I. General information

NPI: 1841120979
Provider Name (Legal Business Name): TONY ZHENG PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EASTVIEW DR
CENTRAL ISLIP NY
11722-4539
US

IV. Provider business mailing address

4243 81ST ST
ELMHURST NY
11373-3158
US

V. Phone/Fax

Practice location:
  • Phone: 646-407-0396
  • Fax:
Mailing address:
  • Phone: 646-407-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: