Basic Information
Provider Information
NPI: 1265609010
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSANG
FirstName: MING
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: STONY BROOK UNIVERSITY HOSPITAL
Address2: MEDICAL STAFF OFFICE T-14
City: STONY BROOK
State: NY
PostalCode: 117947148
CountryCode: US
TelephoneNumber: 6314442754
FaxNumber: 6314446031
Practice Location
Address1: STONY BROOK UNIVERSITY HOSPITAL
Address2: DEPT ANESTHESIOLOGY - HSC4
City: STONY BROOK
State: NY
PostalCode: 117948480
CountryCode: US
TelephoneNumber: 6314442976
FaxNumber: 6314442907
Other Information
ProviderEnumerationDate: 05/12/2008
LastUpdateDate: 11/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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