Healthcare Provider Details

I. General information

NPI: 1255606018
Provider Name (Legal Business Name): MING ZHU LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311A WEST 50TH STREET
NEW YORK CITY NY
10019
US

IV. Provider business mailing address

311A WEST 50TH STREET
NEW YORK NY
10019
US

V. Phone/Fax

Practice location:
  • Phone: 917-287-4473
  • Fax:
Mailing address:
  • Phone: 917-287-4473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number000235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: