Provider Demographics
NPI:1245865930
Name:ZHENG, ZACHARY SHIMIN
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SHIMIN
Last Name:ZHENG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13338 SANFORD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3967
Mailing Address - Country:US
Mailing Address - Phone:718-799-0823
Mailing Address - Fax:718-799-0883
Practice Address - Street 1:13338 SANFORD AVE STE 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3967
Practice Address - Country:US
Practice Address - Phone:718-799-0823
Practice Address - Fax:718-799-0883
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist