Provider Demographics
NPI:1689307209
Name:TSAI, ERICA V
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:V
Last Name:TSAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 HUDSON ST APT 318
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3648
Mailing Address - Country:US
Mailing Address - Phone:408-623-8996
Mailing Address - Fax:
Practice Address - Street 1:609 GREENWICH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3610
Practice Address - Country:US
Practice Address - Phone:408-623-8996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program