=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336400936
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK SHAOPING TANG
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2012
-----------------------------------------------------
Last Update Date | 08/28/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1923 SENECA ST
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14210-1852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-822-2225
-----------------------------------------------------
Fax | 716-822-7078
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1923 SENECA STREET
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-903-1616
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 001001
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------