Individual
ANDREW TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2133 86TH ST, BROOKLYN, NY 11214-3205
(718) 449-1525
(718) 449-2723
Mailing address
2133 86TH ST, BROOKLYN, NY 11214-3205
(718) 449-1525
(718) 449-2723
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008513-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13584887
CAQH NUMBER
PA
Enumeration date
07/20/2015
Last updated
03/17/2018
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