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Individual
MR. JEREMY TANG
Active
Individual
MR. JEREMY TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211405
CT
163W00000X
Registered Nurse
962375
NY
163W00000X
Registered Nurse
RN61576608
WA
363LF0000X
Family Nurse Practitioner
Primary
357491
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2025
Last updated
09/17/2025
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