Provider Demographics
NPI:1609850668
Name:CHAO, TSAI C (MD)
Entity type:Individual
Prefix:DR
First Name:TSAI
Middle Name:C
Last Name:CHAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 E 20TH ST
Mailing Address - Street 2:FL 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1336
Mailing Address - Country:US
Mailing Address - Phone:212-473-9155
Mailing Address - Fax:
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:RM ALL1-452
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-2045
Practice Address - Fax:718-270-3763
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY181825-1208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01786901Medicaid
NY01786901Medicaid
NYE86352Medicare ID - Type Unspecified