Provider Demographics
NPI:1215368576
Name:TWIN DRAGON CONSULTING SERVICE,INC
Entity Type:Organization
Organization Name:TWIN DRAGON CONSULTING SERVICE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:XIE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:917-257-4086
Mailing Address - Street 1:28 STIRRUP LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2516
Mailing Address - Country:US
Mailing Address - Phone:917-257-4086
Mailing Address - Fax:
Practice Address - Street 1:28 STIRRUP LN
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2516
Practice Address - Country:US
Practice Address - Phone:917-257-4086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0132031252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency