Provider Demographics
NPI:1578856415
Name:CYNTHIA TSEN DDS, PLLC
Entity Type:Organization
Organization Name:CYNTHIA TSEN DDS, PLLC
Other - Org Name:ELMHURST FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-898-0900
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0530001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty