Provider Demographics
NPI:1790321933
Name:TSAO, YATING (CHIROPRACTOR)
Entity Type:Individual
Prefix:MISS
First Name:YATING
Middle Name:
Last Name:TSAO
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 43RD ST APT D8
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2542
Mailing Address - Country:US
Mailing Address - Phone:860-532-9792
Mailing Address - Fax:
Practice Address - Street 1:245 5TH AVE 3RD FLOOR
Practice Address - Street 2:SUITE 326
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8728
Practice Address - Country:US
Practice Address - Phone:800-369-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty