Healthcare Provider Details

I. General information

NPI: 1689336497
Provider Name (Legal Business Name): NINGXIN ZHU LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N COUNTRY RD STE 203
MOUNT SINAI NY
11766-1518
US

IV. Provider business mailing address

28 N COUNTRY RD STE 203
MOUNT SINAI NY
11766-1518
US

V. Phone/Fax

Practice location:
  • Phone: 888-975-2256
  • Fax:
Mailing address:
  • Phone: 888-975-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113123
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: