MEDICARE: MS. ALICE SZE-MAN TSAO RPH

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	183500000X	Pharmacist	047714	NY

General Provider Information

NPI Number	:	1457471427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE SZE-MAN TSAO RPH

Provider Business Mailing Address
First Line	:	8318 PENELOPE AVE
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2321
Country	:	US
Telephone Number	:	718-326-0117
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 29TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-1503
Country	:	US
Telephone Number	:	718-840-4200
Fax Number	:	718-840-5025

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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