Individual
MIRANDA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
622 W 168TH ST PH 859, NEW YORK, NY 10032-3720
(212) 305-7591
Mailing address
622 W 168TH ST PH 859, NEW YORK, NY 10032-3720
(212) 305-7591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A20250
CA
207R00000X
Internal Medicine Physician
270140
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A20250
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
270140
NY
207RP1001X
Pulmonary Disease Physician
20A20250
CA
207RP1001X
Pulmonary Disease Physician
270140
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
20A20250
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
270140
NY
Other
Enumeration date
05/24/2010
Last updated
04/13/2026
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