MEDICARE: JERRY ZHENG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center		NY

General Provider Information

NPI Number	:	1699636308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY ZHENG

Provider Business Mailing Address
First Line	:	6821 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5618
Country	:	US
Telephone Number	:	347-517-4090
Fax Number	:	347-517-4016

Provider Business Practice Location Address
First Line	:	6821 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5618
Country	:	US
Telephone Number	:	347-517-4090
Fax Number	:	347-517-4016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	12/01/2025

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Directions to “ JERRY ZHENG ” Practice Location

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