DEREK TSAI SHANG

QUEENS, NY
NPI1851936801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP021159)
Enumeration Date2019-11-14
Last Update Date2022-03-25
Business Address
Mr. DEREK TSAI SHANG CRNP
269 01 76TH AVE
QUEENS, NY 11040
Phone number: 718-470-7640
Mailing Address
Mr. DEREK TSAI SHANG CRNP
269 01 76TH AVE
QUEENS, NY 11040
Phone number:
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