Provider Demographics
NPI:1588698120
Name:TSAI, JULIE HSIN CHIA (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:HSIN CHIA
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:SUNY AT STONY BROOK DEPT OF OPHTHALMOLOGY
Mailing Address - Street 2:HSC L2, RM 152
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8223
Mailing Address - Country:US
Mailing Address - Phone:631-444-1111
Mailing Address - Fax:631-444-1543
Practice Address - Street 1:33 RESEARCH WAY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:631-444-1111
Practice Address - Fax:631-444-1543
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD29419207W00000X
NY223220207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC294194Medicaid
SCI09009Medicare UPIN
SCI090092326Medicare PIN