Provider Demographics
NPI:1518855956
Name:CENZANO, LIAN
Entity type:Individual
Prefix:
First Name:LIAN
Middle Name:
Last Name:CENZANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 31ST AVE # 5D
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4536
Mailing Address - Country:US
Mailing Address - Phone:305-613-8725
Mailing Address - Fax:
Practice Address - Street 1:930 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-2705
Practice Address - Country:US
Practice Address - Phone:347-862-2034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health