# ALEX TANG PHYSICIAN ASSISTANT, P.C.

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

## Provider details

- **NPI number:** 1679039267
- **Authorized official:** ALEX TANG (OWNER)
- **Authorized official phone:** (917) 536-1661

## Contact information

- **Practice address:** 2266 CROPSEY AVE, BROOKLYN, NY 11214-5706
- **Practice address phone:** (718) 266-6100
- **Mailing address:** 7701 10TH AVE, BROOKLYN, NY 11228-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 02/19/2019