Provider Demographics
NPI:1265508295
Name:ZENG, PEIJUN (LAC)
Entity Type:Individual
Prefix:MS
First Name:PEIJUN
Middle Name:
Last Name:ZENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5358 194TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1241
Mailing Address - Country:US
Mailing Address - Phone:718-746-1926
Mailing Address - Fax:914-931-6312
Practice Address - Street 1:279 BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1112
Practice Address - Country:US
Practice Address - Phone:516-371-3745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1194171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist