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Provider Information for 1750983110


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LILLIAN L TSAI


Sex: Female

NPI: 1750983110
Last Updated: 2020-12-02
Certification Date: 2020-12-02

Details

NameValue
NPI1750983110
Enumeration Date2020-11-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 175 ADAMS ST APT 2F
BROOKLYN, NY 11201-1847
United States

Phone: 917-670-3539 | Fax:
 
Primary Practice Address 175 ADAMS ST APT 2F
BROOKLYN, NY 11201-1847
United States

Phone: 917-670-3539 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NY042265LCSW
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNY042265