Basic Information
| Provider Information | |||||||||
| NPI: | 1003149170 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSANG | ||||||||
| FirstName: | VENUS | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | L.M.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 80 E 11TH ST | ||||||||
| Address2: | SUITE 238 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100036811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173342641 | ||||||||
| FaxNumber: | 6463009706 | ||||||||
| Practice Location | |||||||||
| Address1: | 80 E 11TH ST | ||||||||
| Address2: | SUITE 238 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100036811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9173342641 | ||||||||
| FaxNumber: | 6463009706 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2009 | ||||||||
| LastUpdateDate: | 09/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | 27 017066 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 173C00000X | 27 017066 | NY | N | Other Service Providers | Reflexologist |
ID Information
| ID | Type | State | Issuer | Description | 27 017066 | 01 | NY | NEW YORK STATE EDUCATION DEPARTMENT | OTHER |