Individual
CARMEN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 JACKSON AVE, LONG ISLAND CITY, NY 11101-5095
(888) 343-3547
Mailing address
2501 JACKSON AVE, LONG ISLAND CITY, NY 11101-5095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061613
NY
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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