Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 27 017066 | NY |
NPI | 1003149170 |
---|---|
Provider Name | Ms. Venus C Tsang |
First Address | New York, NY 10003-6811 |
Second Address | New York, NY 10003-6811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 29/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27 017066 | NEW YORK STATE EDUCATION DEPARTMENT (01) | NY |