Provider Demographics
NPI:1982978631
Name:ZANG, SHERYL MARA (FNP)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:MARA
Last Name:ZANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2946 WYNSUM AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5413
Mailing Address - Country:US
Mailing Address - Phone:516-546-1565
Mailing Address - Fax:
Practice Address - Street 1:2946 WYNSUM AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-5413
Practice Address - Country:US
Practice Address - Phone:516-546-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331931-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily