Individual
JUDY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5000
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(718) 514-5947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
736254
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
736254
NY
Other
Enumeration date
04/17/2023
Last updated
12/20/2024
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