Basic Information
Provider Information
NPI: 1073601902
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: ELENA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 MICHAEL FREY DR
Address2:  
City: EASTCHESTER
State: NY
PostalCode: 107092725
CountryCode: US
TelephoneNumber: 9143373500
FaxNumber: 9143373530
Practice Location
Address1: 3 MICHAEL FREY DR
Address2:  
City: EASTCHESTER
State: NY
PostalCode: 107092725
CountryCode: US
TelephoneNumber: 9143373500
FaxNumber: 9143373530
Other Information
ProviderEnumerationDate: 10/10/2006
LastUpdateDate: 06/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X255821NYY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207R00000X255821NYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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