Healthcare Provider Details

I. General information

NPI: 1679905111
Provider Name (Legal Business Name): ZHIQING SOCIAL DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132-25 POPLE AVE
FLUSHING NY
11355
US

IV. Provider business mailing address

132-25 POPLE AVE
FLUSHING NY
11355
US

V. Phone/Fax

Practice location:
  • Phone: 718-445-0750
  • Fax: 718-445-0803
Mailing address:
  • Phone: 718-445-0750
  • Fax: 718-445-0803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNY

VIII. Authorized Official

Name: XUAN DI HUANG
Title or Position: PRESIDENT
Credential:
Phone: 718-445-0750