Individual
ANGELA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(844) 632-2623
Mailing address
1 GUSTAVE L LEVY PL # 1079, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351298
NY
Other
Enumeration date
06/12/2023
Last updated
02/08/2024
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