Provider Demographics
NPI:1891021929
Name:ZHENG, JIANLI
Entity Type:Individual
Prefix:
First Name:JIANLI
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14336 BARCLAY AVE APT 6C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-6912
Mailing Address - Country:US
Mailing Address - Phone:917-767-0028
Mailing Address - Fax:
Practice Address - Street 1:14336 BARCLAY AVE APT 6C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-6912
Practice Address - Country:US
Practice Address - Phone:917-767-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001747171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist