Provider Demographics
NPI:1295061976
Name:TSOI, BENJAMIN (MD, MPH)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:TSOI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WORTH ST
Mailing Address - Street 2:ROOM 1513, CN A-1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2904
Mailing Address - Country:US
Mailing Address - Phone:212-788-2197
Mailing Address - Fax:212-788-2163
Practice Address - Street 1:160 W 100TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5145
Practice Address - Country:US
Practice Address - Phone:212-788-2197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239626207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine