Organization
LONGEVITY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NI XIA ZHENG (PRESIDENT)
(718) 618-4428
Entity
Organization
Contact information
Practice address
14229 37TH AVE STE M1, FLUSHING, NY 11354-4190
(718) 618-4428
Mailing address
13107 40TH RD STE E5, FLUSHING, NY 11354-5205
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04174892
—
NY
Enumeration date
10/02/2017
Last updated
01/22/2019
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