Provider Demographics
NPI:1912927443
Name:TSENG, MENGKAO (MD)
Entity Type:Individual
Prefix:DR
First Name:MENGKAO
Middle Name:
Last Name:TSENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 37TH ST RM 310
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3256
Mailing Address - Country:US
Mailing Address - Phone:212-682-3753
Mailing Address - Fax:212-687-4934
Practice Address - Street 1:345 E 37TH ST RM 310
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-682-3753
Practice Address - Fax:212-687-4934
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198024174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01659952Medicaid
NY1881869881OtherNPI
NY1881869881OtherNPI
NYWGW331Medicare ID - Type Unspecified