Healthcare Provider Details

I. General information

NPI: 1437024478
Provider Name (Legal Business Name): TENZIN LHAMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 8TH AVE
NEW YORK NY
10001-4852
US

IV. Provider business mailing address

3730 83RD ST APT 2G
JACKSON HEIGHTS NY
11372-7124
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-6700
  • Fax:
Mailing address:
  • Phone: 205-706-5316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN06171
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: