Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 051655-1 | NY |
Y | 213EG0000X | General Practice | 051655-1 | NY |
NPI | 1003475773 |
---|---|
Provider Name | Dr. Thomas Tsang |
First Address | Forest Hills, NY 11375-5139 |
Second Address | Kew Gardens, NY 11415-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |