Provider Demographics
NPI:1891074001
Name:ZHENG, XIAOLIN (MD)
Entity type:Individual
Prefix:
First Name:XIAOLIN
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 NEW YORK AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4212
Mailing Address - Country:US
Mailing Address - Phone:631-549-8120
Mailing Address - Fax:
Practice Address - Street 1:85 LEE AVE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1623
Practice Address - Country:US
Practice Address - Phone:516-581-9269
Practice Address - Fax:516-531-8546
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101258357208100000X
NY390200000X
NYA276658208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program