Individual
DR. REBECCA TAN-ALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
(315) 376-9317
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5610
(315) 422-3909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
221108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02193680
—
NY
Enumeration date
04/18/2006
Last updated
06/19/2014
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