Organization
CREST MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WU TAN M.D. (OWNER)
(347) 341-0365
Entity
Organization
Contact information
Practice address
2520 146TH ST, FLUSHING, NY 11354-1329
(347) 341-0365
(718) 886-0644
Mailing address
13336 41ST RD, SUITE 2G, FLUSHING, NY 11355-3666
(347) 341-0365
(718) 886-0644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
267436-1
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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