Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 23016246 | NY |
NPI | 1194163162 |
---|---|
Provider Name | Tenzin Noryang |
First Address | Astoria, NY 11102-2448 |
Second Address | New York, NY 10021-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 05/10/2020 |