Provider Demographics
NPI:1316121577
Name:TSAI, CHENG YING (DDS)
Entity type:Individual
Prefix:
First Name:CHENG
Middle Name:YING
Last Name:TSAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 KISSENA BLVD
Mailing Address - Street 2:STE 117
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-888-7832
Mailing Address - Fax:718-872-9684
Practice Address - Street 1:4343 KISSENA BLVD
Practice Address - Street 2:STE 117
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-888-7832
Practice Address - Fax:718-872-9684
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0471071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02889389Medicaid