Individual
COREY ZHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814263100
DRIVER'S LICENSE
NY
Enumeration date
02/21/2023
Last updated
01/31/2024
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