MEDICARE: LIPING ZHANG LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	074086	NY

General Provider Information

NPI Number	:	1023332533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIPING ZHANG LCSW-R

Provider Business Mailing Address
First Line	:	5504 97TH ST
Second Line	:
City	:	CORONA
State	:	NY
Zip	:	11368-3030
Country	:	US
Telephone Number	:	917-566-8968
Fax Number	:

Provider Business Practice Location Address
First Line	:	7011 108TH ST APT 3E
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4408
Country	:	US
Telephone Number	:	917-566-8968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	11/16/2017

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