Individual
DIANE TSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2418
(718) 932-1000
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2418
(718) 932-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026972
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06936947
—
NY
Enumeration date
04/07/2020
Last updated
03/16/2022
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