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NPI Code Detail

MEDICARE: CHISAI TSE D.O.

MEDICARE: CHISAI TSE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician186028NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083729354
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHISAI TSE D.O.
Provider Business Mailing Address
First Line : 6323 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4742
Country : US
Telephone Number : 718-283-6980
Fax Number : 718-635-6750
Provider Business Practice Location Address
First Line : 6323 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4742
Country : US
Telephone Number : 718-283-6980
Fax Number : 718-635-6750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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