Provider Demographics
NPI:1093900029
Name:KAO, SALLY M
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:M
Last Name:KAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36-25 UNION ST
Mailing Address - Street 2:#9Z
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:646-645-6776
Mailing Address - Fax:718-279-7679
Practice Address - Street 1:42-36 82ND ST
Practice Address - Street 2:#2B KARZ ACUPUNCTURE PLLC
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-779-9560
Practice Address - Fax:718-779-9560
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000513171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist