Provider Demographics
NPI:1841171527
Name:ZHENG, YANRONG
Entity type:Individual
Prefix:
First Name:YANRONG
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GARRETSON LN BLDG SUITE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-1550
Mailing Address - Country:US
Mailing Address - Phone:646-309-1811
Mailing Address - Fax:
Practice Address - Street 1:1243 WOODROW RD BLDG SUITE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1725
Practice Address - Country:US
Practice Address - Phone:718-966-0111
Practice Address - Fax:718-966-0089
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist