Organization
KWEI HAM DANIEL TAN, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINDA DICKEY (BILLING MANAGER)
(772) 777-0333
Entity
Organization
Contact information
Practice address
120 SYKES ST, GROTON, NY 13073-1231
(607) 591-5349
(607) 428-5077
Mailing address
417 S JENSEN RD, VESTAL, NY 13850-3018
(772) 777-0333
(347) 719-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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