Individual
TAN A INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
506 6TH ST, ROOM CP2006, BROOKLYN, NY 11215-3609
(718) 780-3664
(718) 780-3673
Mailing address
506 6TH ST, CP2006, BROOKLYN, NY 11215-3609
(718) 780-3664
(718) 780-3673
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
209653
MA
207ZP0101X
Anatomic Pathology Physician
Primary
301680
NY
207ZP0101X
Anatomic Pathology Physician
ME107163
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
301680
NY
Other
Enumeration date
08/15/2006
Last updated
08/09/2024
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