Healthcare Provider Details

I. General information

NPI: 1871337709
Provider Name (Legal Business Name): ZHICHENG HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 MADISON SQ W FL 12
NEW YORK NY
10010-1629
US

IV. Provider business mailing address

18 PARK VIEW AVE APT 537
JERSEY CITY NJ
07302-7392
US

V. Phone/Fax

Practice location:
  • Phone: 551-270-8392
  • Fax:
Mailing address:
  • Phone: 551-270-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: