Provider Demographics
NPI:1144336454
Name:TSIM, CHRISTINA (DPM)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TSIM
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHATHAM SQUARE #502
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:212-267-8988
Mailing Address - Fax:212-267-1970
Practice Address - Street 1:8 CHATHAM SQUARE #502
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-267-8988
Practice Address - Fax:212-267-1970
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005133213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01493498Medicaid
NY0906090001Medicare NSC
U50488Medicare UPIN
NYP61521Medicare PIN