Provider Demographics
NPI:1558525196
Name:TSAI, TIEN-TSAI (MD)
Entity type:Individual
Prefix:
First Name:TIEN-TSAI
Middle Name:
Last Name:TSAI
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 1:1706 WILLOUGHBY AVE
Mailing Address - Street 2:RIDGEWOOD
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-1148
Mailing Address - Country:US
Mailing Address - Phone:347-819-0858
Mailing Address - Fax:
Practice Address - Street 1:13336 41ST RD STE 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3666
Practice Address - Country:US
Practice Address - Phone:347-529-5303
Practice Address - Fax:347-529-5303
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272019207RG0300X, 207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine