Provider Demographics
NPI:1649576729
Name:NEW YORK PATIENTFIRST MEDICAL AND GERIATRIC QUALITY HEALTH SERVICES
Entity Type:Organization
Organization Name:NEW YORK PATIENTFIRST MEDICAL AND GERIATRIC QUALITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIEN-TSAI
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-819-0858
Mailing Address - Street 1:41 MOTT ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5041
Mailing Address - Country:US
Mailing Address - Phone:646-692-9037
Mailing Address - Fax:
Practice Address - Street 1:41 MOTT ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5041
Practice Address - Country:US
Practice Address - Phone:646-692-9037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003412261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care