Healthcare Provider Details

I. General information

NPI: 1164350302
Provider Name (Legal Business Name): LINGQI ZHAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILY ZHAI

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9114 37TH AVE
JACKSON HEIGHTS NY
11372-7920
US

IV. Provider business mailing address

14152 33RD AVE APT 6B
FLUSHING NY
11354-3262
US

V. Phone/Fax

Practice location:
  • Phone: 718-779-1600
  • Fax:
Mailing address:
  • Phone: 917-662-3097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: