MEDICARE: LIAN CENZANO

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

General Provider Information

NPI Number	:	1518855956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIAN CENZANO

Provider Business Mailing Address
First Line	:	1443 31ST AVE # 5D
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-4536
Country	:	US
Telephone Number	:	305-613-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2705
Country	:	US
Telephone Number	:	347-862-2034
Fax Number	:

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

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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Directions to “ LIAN CENZANO ” Practice Location

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