Individual
DR. ALFONSO TAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 GRIDER ST, 11TH FLOOR, BUFFALO, NY 14215-3021
(716) 835-1246
(716) 835-0396
Mailing address
462 GRIDER ST, 11TH FLOOR, BUFFALO, NY 14215-3021
(716) 835-1246
(716) 835-0396
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
217872
NY
Other
Enumeration date
11/28/2006
Last updated
02/14/2011
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