Individual
MR. BYRON MAGA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
541 PELHAM RD APT 7M, NEW ROCHELLE, NY 10805-1614
(845) 675-3521
Mailing address
541 PELHAM RD APT 7M, NEW ROCHELLE, NY 10805-1614
(845) 675-3521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015364
NY
225XH1200X
Hand Occupational Therapist
015364
NY
Other
Enumeration date
06/22/2010
Last updated
09/07/2011
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