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Organization

ALEX TANG PHYSICIAN ASSISTANT, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX TANG (OWNER)
(917) 536-1661
Entity
Organization

Contact information

Practice address
2266 CROPSEY AVE, BROOKLYN, NY 11214-5706
(718) 266-6100
Mailing address
7701 10TH AVE, BROOKLYN, NY 11228-2341

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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