Healthcare Provider Details

I. General information

NPI: 1821156043
Provider Name (Legal Business Name): NATURO-MEDICAL HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ALLEN STREET CELLAR
NEW YORK NY
10002-5302
US

IV. Provider business mailing address

2 ALLEN STREET CELLAR
NEW YORK NY
10002-5302
US

V. Phone/Fax

Practice location:
  • Phone: 212-566-6288
  • Fax: 212-732-2412
Mailing address:
  • Phone: 212-566-6288
  • Fax: 212-732-2412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DR. TSAI CHUNG CHUNG CHAO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 212-473-9155