Individual
BRIAN M TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4041 BAYCHESTER AVE, FLOOR 1, BRONX, NY 10466-2313
(718) 231-9730
Mailing address
4041 BAYCHESTER AVE, BRONX, NY 10466-2313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
031219
NY
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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