Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA07512400 | NJ |
NPI | 1053394593 |
---|---|
Provider Name | Dr. Yining Zheng |
First Address | Englewood, NJ 07631-4968 |
Second Address | Englewood, NJ 07631-4968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 14/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H78661 | (02) | NJ |