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Individual

DR. PAUL TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
14467 26TH AVE, 1ST FL, FLUSHING, NY 11354-1326
(917) 215-0782
Mailing address
14467 26TH AVE, 1ST FL, FLUSHING, NY 11354-1326
(917) 215-0782

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56 007878
NY

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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