Provider Demographics
NPI:1386981751
Name:ZHENG, CHENG FENG
Entity type:Individual
Prefix:MR
First Name:CHENG FENG
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 1:108 MADISON ST
Mailing Address - Street 2:STORE FRONT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7213
Mailing Address - Country:US
Mailing Address - Phone:212-274-1166
Mailing Address - Fax:212-219-0443
Practice Address - Street 1:108 MADISON ST
Practice Address - Street 2:STORE FRONT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7213
Practice Address - Country:US
Practice Address - Phone:212-274-1166
Practice Address - Fax:212-219-0443
Is Sole Proprietor?:No
Enumeration Date:2013-01-05
Last Update Date:2013-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB01721171WV0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WV0202XOther Service ProvidersContractorVehicle Modifications