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NPI Code Detail

MEDICARE: DR. SUNNY XIAOJING TANG M.D.

MEDICARE: DR. SUNNY XIAOJING TANG M.D.
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
12084P0800XPsychiatry PhysicianMD459158PA
22084P0800XPsychiatry Physician300362NY

General Provider Information

NPI Number : 1548689417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNNY XIAOJING TANG M.D.
Provider Business Mailing Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8267
Fax Number : 215-662-7903
Provider Business Practice Location Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8267
Fax Number : 215-662-7903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2014
Last Update Date : 10/11/2020

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