Provider Demographics
NPI:1548089246
Name:MICHAEL TSADYK MEDICAL PC
Entity type:Organization
Organization Name:MICHAEL TSADYK MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TSADYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-450-7007
Mailing Address - Street 1:10721 QUEENS BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4451
Mailing Address - Country:US
Mailing Address - Phone:929-450-7007
Mailing Address - Fax:929-506-7006
Practice Address - Street 1:10721 QUEENS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4451
Practice Address - Country:US
Practice Address - Phone:929-450-7007
Practice Address - Fax:929-506-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty