Individual
JENNIFER TSUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(646) 403-6335
Mailing address
41 E 57TH ST RM 2501, NEW YORK, NY 10022-1655
(124) 216-0552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0651834
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
03/10/2020
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