Healthcare Provider Details

I. General information

NPI: 1073601902
Provider Name (Legal Business Name): ELENA L TSAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 06/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MICHAEL FREY DR
EASTCHESTER NY
10709-2725
US

IV. Provider business mailing address

3 MICHAEL FREY DR
EASTCHESTER NY
10709-2725
US

V. Phone/Fax

Practice location:
  • Phone: 914-337-3500
  • Fax: 914-337-3530
Mailing address:
  • Phone: 914-337-3500
  • Fax: 914-337-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number255821
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number255821
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: