Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 164738 | NY |
Y | 207YS0123X | Facial Plastic Surgeon | 25MA08946100 | NJ |
NPI | 1487790085 |
---|---|
Provider Name | Dr. Francis Tsao |
First Address | New York, NY 10065-7510 |
Second Address | Paterson, NJ 07502-1010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01839330 | (05) | NY |
C46675 | (02) | NY |