# DORIS U TAN M D P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356685077
- **Authorized official:** DORIS U TAN MD (PRESIDENT)
- **Authorized official phone:** (212) 267-9818

## Contact information

- **Practice address:** 128 MOTT ST, SUITE 601, NEW YORK, NY 10013-5540
- **Practice address phone:** (212) 267-9818
- **Practice address fax:** (212) 267-9041
- **Mailing address:** 128 MOTT ST, SUITE 601, NEW YORK, NY 10013-5540
- **Mailing address phone:** (212) 267-9818
- **Mailing address fax:** (212) 267-9041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 184609-1 | NY | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 12/03/2012