Provider Demographics
NPI:1285450858
Name:ZHENG, ALVIN
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17311 FAIRCHILD AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3815
Mailing Address - Country:US
Mailing Address - Phone:646-338-8358
Mailing Address - Fax:
Practice Address - Street 1:17311 FAIRCHILD AVE
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:NY
Practice Address - Zip Code:11358-3815
Practice Address - Country:US
Practice Address - Phone:646-338-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program