MEDICARE: DR. KENNY H. TSANG D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	010870	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	666475	OTHER	NY	ACN
2	7096545	OTHER	NY	AETNA
3	9351091	OTHER	NY	PHCS/CIGNA
4	P010010870	OTHER	NY	BLUE CHOICE
5	P020010870	OTHER	NY	BLUE CROSS BLUE SHIELD
6	138047AN	OTHER	NY	PREFERRED CARE
7	2439320	OTHER	NY	UHC
8	839605	OTHER	NY	EMPIRE/MPN
9	X9H19	OTHER	NY	EMPIRE/BCBS (ASH)
10	161537641	OTHER	NY	PRISM
11	C10870-6B	OTHER	NY	WORKER'S COMPENSATION

General Provider Information

NPI Number	:	1134113459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNY H. TSANG D.C.

Provider Business Mailing Address
First Line	:	6800 PITTSFORD PALMYRA RD STE 220
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3514
Country	:	US
Telephone Number	:	585-598-3458
Fax Number	:	585-598-3459

Provider Business Practice Location Address
First Line	:	6800 PITTSFORD PALMYRA RD STE 220
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3514
Country	:	US
Telephone Number	:	585-598-3458
Fax Number	:	585-598-3459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	04/04/2022

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Directions to “ DR. KENNY H. TSANG D.C.” Practice Location

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