Healthcare Provider Details

I. General information

NPI: 1437938040
Provider Name (Legal Business Name): TINGYI ZHONG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13626 37TH AVE
FLUSHING NY
11354-6533
US

IV. Provider business mailing address

13626 37TH AVE
FLUSHING NY
11354-6533
US

V. Phone/Fax

Practice location:
  • Phone: 718-661-6033
  • Fax: 718-886-7069
Mailing address:
  • Phone: 718-661-6033
  • Fax: 718-886-7069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120970-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: