Provider Demographics
NPI:1457683575
Name:TSEN, CYNTHIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:TSEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8527 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5837
Mailing Address - Country:US
Mailing Address - Phone:718-898-0900
Mailing Address - Fax:718-651-3708
Practice Address - Street 1:8527 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5837
Practice Address - Country:US
Practice Address - Phone:718-898-0900
Practice Address - Fax:718-651-3708
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice