Provider Demographics
NPI:1215027776
Name:TSANG, WING O (MD)
Entity Type:Individual
Prefix:DR
First Name:WING
Middle Name:O
Last Name:TSANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:109 LAFAYETTE ST
Mailing Address - Street 2:SUITE 806
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4154
Mailing Address - Country:US
Mailing Address - Phone:212-219-7797
Mailing Address - Fax:212-219-7796
Practice Address - Street 1:109 LAFAYETTE ST
Practice Address - Street 2:SUITE 806
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4154
Practice Address - Country:US
Practice Address - Phone:212-219-7797
Practice Address - Fax:212-219-7796
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY178855207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01415801Medicaid
NY12L681Medicare PIN
NY01415801Medicaid