Provider Demographics
NPI:1730133042
Name:TSANG, RAYMOND H (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:H
Last Name:TSANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 108TH ST
Mailing Address - Street 2:APT # 409
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3849
Mailing Address - Country:US
Mailing Address - Phone:646-888-0903
Mailing Address - Fax:
Practice Address - Street 1:1114 1ST AVE
Practice Address - Street 2:6TH FLOOR, ROOM 614
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8325
Practice Address - Country:US
Practice Address - Phone:646-888-0903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041191183500000X
NJ28RI02167400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist