Healthcare Provider Details

I. General information

NPI: 1952182750
Provider Name (Legal Business Name): CHENG CHENG ZHOU FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 PRINCE ST STE 253
FLUSHING NY
11354-5367
US

IV. Provider business mailing address

500 HIGH POINT DR APT 304
HARTSDALE NY
10530-1122
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-0566
  • Fax:
Mailing address:
  • Phone: 917-328-5166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number352967
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: