Provider Demographics
NPI:1740456326
Name:TSAI, CHUNG-YING
Entity type:Individual
Prefix:
First Name:CHUNG-YING
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 58TH ST
Mailing Address - Street 2:BASEMENT FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3609
Mailing Address - Country:US
Mailing Address - Phone:718-290-2919
Mailing Address - Fax:
Practice Address - Street 1:833 58TH ST
Practice Address - Street 2:BASEMENT FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3609
Practice Address - Country:US
Practice Address - Phone:718-290-2919
Practice Address - Fax:718-290-9860
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005416171100000X
NY029918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2976158Medicaid