Individual
JENNY YU TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT NP
Contact information
Practice address
1880 BATHGATE AVENUE, BRONX, NY 10457-4501
(718) 294-5891
(718) 294-2468
Mailing address
44 W 28TH ST FL 5, NEW YORK, NY 10001-4212
(212) 545-2409
(212) 463-8411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209007673
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
30305090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/29/2009
Last updated
11/03/2025
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