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NPI Code Detail

MEDICARE: DR. KIM TSAO OMD

MEDICARE:  DR. KIM  TSAO  OMD
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
1171100000XAcupuncturist314NY

General Provider Information

NPI Number : 1932407582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIM TSAO OMD
Provider Business Mailing Address
First Line : 150 E 56TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10022
Country : US
Telephone Number : 212-888-8877
Fax Number :
Provider Business Practice Location Address
First Line : 150 E 56TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3631
Country : US
Telephone Number : 212-888-8877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 03/07/2011

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