Healthcare Provider Details

I. General information

NPI: 1245605930
Provider Name (Legal Business Name): TSAO-LIN MOY L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2015
Last Update Date: 12/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 UNION SQ E SUITE 311
NEW YORK NY
10003-3209
US

IV. Provider business mailing address

32 UNION SQ E SUITE 311
NEW YORK NY
10003-3209
US

V. Phone/Fax

Practice location:
  • Phone: 917-294-3805
  • Fax:
Mailing address:
  • Phone: 917-294-3805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2156
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: