Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 007463 | NY |
NPI | 1003220716 |
---|---|
Provider Name | Mr. Chi Ho Tse |
First Address | Brooklyn, NY 11220-4338 |
Second Address | Brooklyn, NY 11220-4338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 20/06/2014 |