Individual
BRYAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6423
Mailing address
111 EAST 210 ST, DEPARTMENT OF ANESTHESIOLOGY, BRONX, NY 10467
(631) 235-8123
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
338929
NY
Other
Enumeration date
03/26/2020
Last updated
09/15/2025
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