Healthcare Provider Details

I. General information

NPI: 1598109118
Provider Name (Legal Business Name): YIXIU ZHENG MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BOWERY 2ND FL, SUITE 8
NEW YORK NY
10002-6702
US

IV. Provider business mailing address

19 BOWERY 2ND FL, SUITE 8
NEW YORK NY
10002-6702
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-2251
  • Fax: 888-502-8168
Mailing address:
  • Phone: 212-226-2251
  • Fax: 888-502-8168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number260194
License Number StateNY

VIII. Authorized Official

Name: DR. YIXIU ZHENG
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 19178829961