Provider Demographics
NPI:1598792632
Name:TSOU, HARRY H (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:H
Last Name:TSOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 TRUMBULL RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2116
Mailing Address - Country:US
Mailing Address - Phone:516-467-4769
Mailing Address - Fax:
Practice Address - Street 1:3030 NORTHERN BLVD STE 501
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2809
Practice Address - Country:US
Practice Address - Phone:718-395-6247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2277642085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02492262Medicaid
644T42Medicare PIN
NYH99447Medicare UPIN