Individual
KAREN LIZHONG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5010 STATE HIGHWAY 30, SUITE 204, AMSTERDAM, NY 12010-7532
(518) 842-8185
(518) 842-8189
Mailing address
5010 STATE HIGHWAY 30, SUITE 204, AMSTERDAM, NY 12010-7532
(518) 842-8185
(518) 842-8189
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
183416
NY
207YX0602X
Otolaryngic Allergy Physician
183416
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01515397
—
NY
Enumeration date
11/13/2006
Last updated
02/20/2013
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