Individual
MR. VICTOR ZHIHUA SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. SP.ED.
Contact information
Practice address
6722 218TH ST, APT. B, OAKLAND GARDENS, NY 11364-2609
(917) 586-4988
(718) 229-2825
Mailing address
6722 218TH ST, APT. B, OAKLAND GARDENS, NY 11364-2609
(917) 586-4988
(718) 229-2825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1260712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EGT82904946
EMPIRE/BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/14/2008
Last updated
10/12/2008
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