Healthcare Provider Details

I. General information

NPI: 1962178947
Provider Name (Legal Business Name): WENLIANG ZHU LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WALKER ST FL 2
NEW YORK NY
10013-4135
US

IV. Provider business mailing address

125 WALKER ST FL 2
NEW YORK NY
10013-4135
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-1661
  • Fax: 212-226-2289
Mailing address:
  • Phone: 212-226-1661
  • Fax: 212-226-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: