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Individual

CAROL LYNN SAY TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
61 BROADWAY SUITE 2824, NEW YORK, NY 10006
(212) 981-1977
Mailing address
61 BROADWAY SUITE 2824, NEW YORK, NY 10006

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033667
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033667
NEW YORK STATE PHYSICAL THERAPY LICENSE
NY
Enumeration date
07/20/2012
Last updated
09/09/2013
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