Organization
CONCEPCION V. TAN,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONCEPCION V TAN MD (SOLE OWNER)
(718) 769-8305
Entity
Organization
Contact information
Practice address
2746 OCEAN AVE, BROOKLYN, NY 11229-4708
(718) 769-8305
(718) 332-2956
Mailing address
2746 OCEAN AVE, BROOKLYN, NY 11229-4708
(718) 769-8305
(718) 332-2956
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
111610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638197
—
NY
Enumeration date
01/13/2016
Last updated
01/13/2016
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