Healthcare Provider Details

I. General information

NPI: 1518855956
Provider Name (Legal Business Name): LIAN CENZANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 GRAND CONCOURSE
BRONX NY
10451-2705
US

IV. Provider business mailing address

1443 31ST AVE # 5D
ASTORIA NY
11106-4536
US

V. Phone/Fax

Practice location:
  • Phone: 347-862-2034
  • Fax:
Mailing address:
  • Phone: 305-613-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: