Individual
BONNIE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(845) 348-2000
Mailing address
412 59TH ST, BROOKLYN, NY 11220-3814
(646) 696-8609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073357
NY
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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