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Individual

CHERI C TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
139 CENTRE ST STE 307, NEW YORK, NY 10013-4554
(212) 334-3507
Mailing address
1324 65TH ST, BROOKLYN, NY 11219-5609
(646) 683-1858

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307211
NY

Other

Enumeration date
03/20/2015
Last updated
03/20/2015
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