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Organization
KWEI HAM DANIEL TAN, DO PLLC
Active
Organization
KWEI HAM DANIEL TAN, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINDA DICKEY (BILLING MANAGER)
(772) 777-0333
Entity
Organization
Contact information
Practice address
120 SYKES ST, GROTON, NY 13073-1231
(607) 591-5349
(607) 428-5077
Mailing address
417 S JENSEN RD, VESTAL, NY 13850-3018
(772) 777-0333
(347) 719-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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