Provider Demographics
NPI:1104571959
Name:ZHENG, MELINDA (MBA, RDN, CDN)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:MBA, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 PIKE ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7300
Mailing Address - Country:US
Mailing Address - Phone:917-526-9822
Mailing Address - Fax:
Practice Address - Street 1:56 PIKE ST APT 5B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7300
Practice Address - Country:US
Practice Address - Phone:917-526-9822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010760133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered