Provider Demographics
NPI:1548689417
Name:TANG, SUNNY XIAOJING (MD)
Entity type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:XIAOJING
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7559 263RD ST
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1100
Mailing Address - Country:US
Mailing Address - Phone:718-470-8267
Mailing Address - Fax:215-662-7903
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1100
Practice Address - Country:US
Practice Address - Phone:718-470-8267
Practice Address - Fax:215-662-7903
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4591582084P0800X
NY3003622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry