Provider Demographics
NPI:1134113459
Name:TSANG, KENNY H (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNY
Middle Name:H
Last Name:TSANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 PITTSFORD PALMYRA RD STE 220
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3514
Mailing Address - Country:US
Mailing Address - Phone:585-598-3458
Mailing Address - Fax:585-598-3459
Practice Address - Street 1:6800 PITTSFORD PALMYRA RD STE 220
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3514
Practice Address - Country:US
Practice Address - Phone:585-598-3458
Practice Address - Fax:585-598-3459
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY666475OtherACN
NY7096545OtherAETNA
NY9351091OtherPHCS/CIGNA
NYP010010870OtherBLUE CHOICE
NYP020010870OtherBLUE CROSS BLUE SHIELD
NY138047ANOtherPREFERRED CARE
NY2439320OtherUHC
NY839605OtherEMPIRE/MPN
NYX9H19OtherEMPIRE/BCBS (ASH)
NY161537641OtherPRISM
NYC10870-6BOtherWORKER'S COMPENSATION
NY7096545OtherAETNA
NYV00689Medicare UPIN