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Individual

NIKKI DANIELLE YING TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD195049
OR
207ND0101X
MOHS-Micrographic Surgery Physician
2862881
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD195049
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114347600
MD
05
500766374
OR
Enumeration date
06/02/2011
Last updated
01/02/2021
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