Individual
HENRY T TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 HEARTS WAY, ADIRONDACK CARDIOLOGY, QUEENSBURY, NY 12804-5925
(518) 792-1233
(518) 792-6854
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801
(518) 926-6992
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
237339
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
237339
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751164
—
NY
Enumeration date
07/19/2006
Last updated
09/26/2023
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