Provider Demographics
NPI:1164677522
Name:TSANG, FLORA (MA, OTR/L)
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:TSANG
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25805 PEMBROKE AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1039
Mailing Address - Country:US
Mailing Address - Phone:718-813-4770
Mailing Address - Fax:516-482-1257
Practice Address - Street 1:13616 35TH AVE
Practice Address - Street 2:STE 1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2905
Practice Address - Country:US
Practice Address - Phone:917-968-0548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005017225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist