Provider Demographics
NPI:1376829556
Name:LIN, JINYING ZHENG (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JINYING
Middle Name:ZHENG
Last Name:LIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:JINYING
Other - Middle Name:
Other - Last Name:ZHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7939 CALAMUS AVE
Mailing Address - Street 2:APT 2D
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4167
Mailing Address - Country:US
Mailing Address - Phone:347-551-4068
Mailing Address - Fax:
Practice Address - Street 1:1305 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-2672
Practice Address - Fax:646-962-0380
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2016-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23015208363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical