Individual
AUSTIN TSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 MEDICAL CENTER DR SUITE 104, FAYETTEVILLE, NY 13066-6635
(315) 663-0059
(315) 663-0123
Mailing address
5112 W TAFT RD STE L, LIVERPOOL, NY 13088-4873
(315) 452-2501
(315) 452-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02831652
—
NY
01
—
P00386582
RR MEDICARE
NY
Enumeration date
10/04/2006
Last updated
05/09/2023
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