Healthcare Provider Details

I. General information

NPI: 1265609010
Provider Name (Legal Business Name): MING K TSANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 11/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STONY BROOK UNIVERSITY HOSPITAL DEPT ANESTHESIOLOGY - HSC4
STONY BROOK NY
11794-8480
US

IV. Provider business mailing address

STONY BROOK UNIVERSITY HOSPITAL MEDICAL STAFF OFFICE T-14
STONY BROOK NY
11794-7148
US

V. Phone/Fax

Practice location:
  • Phone: 631-444-2976
  • Fax: 631-444-2907
Mailing address:
  • Phone: 631-444-2754
  • Fax: 631-444-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: