Organization
TAN & MAR OPTOMETRY
Active
Other names
Northport Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE TAN O.D. (MEMBER)
(631) 757-4440
Entity
Organization
Contact information
Practice address
834 FORT SALONGA RD, SUITE D, NORTHPORT, NY 11768-3157
(631) 757-4440
(631) 757-4593
Mailing address
834 FORT SALONGA RD, SUITE D, NORTHPORT, NY 11768-3157
(631) 757-4440
(631) 757-4593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NY TUV 7209
NY
Other
Enumeration date
01/27/2015
Last updated
03/04/2015
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