Provider Demographics
NPI:1932903077
Name:MINOUNGOU, ZOEWENDSANGO TATIANA
Entity type:Individual
Prefix:
First Name:ZOEWENDSANGO
Middle Name:TATIANA
Last Name:MINOUNGOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LIBERTY ST APT B10
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1777
Mailing Address - Country:US
Mailing Address - Phone:646-643-9906
Mailing Address - Fax:646-643-9906
Practice Address - Street 1:660 E 166TH ST APT 3B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5613
Practice Address - Country:US
Practice Address - Phone:646-643-9906
Practice Address - Fax:646-643-9906
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter