Healthcare Provider Details

I. General information

NPI: 1922318633
Provider Name (Legal Business Name): STEPHANIE TSENG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 E MAIN ST STE 4G
MOUNT KISCO NY
10549-3035
US

IV. Provider business mailing address

359 E MAIN ST STE 4G
MOUNT KISCO NY
10549-3035
US

V. Phone/Fax

Practice location:
  • Phone: 914-241-3003
  • Fax:
Mailing address:
  • Phone: 914-241-3003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. STEPHANIE TSENG
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 914-241-3003