1932903077 NPI number — ZOEWENDSANGO TATIANA MINOUNGOU

Table of content: ZOEWENDSANGO TATIANA MINOUNGOU (NPI 1932903077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932903077 NPI number — ZOEWENDSANGO TATIANA MINOUNGOU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MINOUNGOU
Provider First Name:
ZOEWENDSANGO
Provider Middle Name:
TATIANA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932903077
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 LIBERTY ST APT B10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE FERRY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07643-1777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-643-9906
Provider Business Mailing Address Fax Number:
646-643-9906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
660 E 166TH ST APT 3B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10456-5613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-643-9906
Provider Business Practice Location Address Fax Number:
646-643-9906
Provider Enumeration Date:
04/01/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171R00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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