Healthcare Provider Details

I. General information

NPI: 1275447153
Provider Name (Legal Business Name): YANGQIUZHE ZHU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 HUNTER ST APT 2619W
LONG ISLAND CITY NY
11101-4586
US

IV. Provider business mailing address

4325 HUNTER ST APT 2619W
LONG ISLAND CITY NY
11101-4586
US

V. Phone/Fax

Practice location:
  • Phone: 206-839-7633
  • Fax:
Mailing address:
  • Phone: 206-839-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132207
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: