Individual
JIANGCHUAN TAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LODGE LN, EAST SETAUKET, NY 11733-3301
(631) 965-3750
Mailing address
1 LODGE LN, EAST SETAUKET, NY 11733-3301
(631) 965-3750
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
265505
NY
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
06/24/2025
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