Individual
NANCY TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
71 UDALL DR, GREAT NECK, NY 11020-1529
(347) 282-6991
Mailing address
4733 WHITE PLAINS RD, BRONX, NY 10470-1119
(718) 994-2375
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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