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NPI Code Detail

MEDICARE: MR. SHOUDU ZENG MD

MEDICARE: MR. SHOUDU ZENG MD
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
12084P0800XPsychiatry Physician212624NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912996901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHOUDU ZENG MD
Provider Business Mailing Address
First Line : 64 PALMER AVE
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-7233
Country : US
Telephone Number : 914-722-4102
Fax Number : 914-722-4102
Provider Business Practice Location Address
First Line : 21 BLOOMINGDALE RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-1504
Country : US
Telephone Number : 914-997-5736
Fax Number : 914-997-5770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 01/22/2008

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