Provider Demographics
NPI:1467782615
Name:ZHENG, LI (MD)
Entity Type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 NORTHERN BLVD APT 608
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1661
Mailing Address - Country:US
Mailing Address - Phone:917-741-8636
Mailing Address - Fax:
Practice Address - Street 1:13640 39TH AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5536
Practice Address - Country:US
Practice Address - Phone:718-463-3838
Practice Address - Fax:718-359-3838
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY262389207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine