Healthcare Provider Details

I. General information

NPI: 1104668755
Provider Name (Legal Business Name): HAPPY DRAGON SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 146TH ST
FLUSHING NY
11354-2324
US

IV. Provider business mailing address

447 BROADWAY 2ND FL SUIT 180
NEW YORK NY
10013-2562
US

V. Phone/Fax

Practice location:
  • Phone: 718-271-5637
  • Fax:
Mailing address:
  • Phone: 631-912-6232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISSA XU
Title or Position: MANAGER
Credential:
Phone: 646-708-2027