Individual
MINYI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 EDMUND D PELLEGRINO RD, STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER, STONY BROOK, NY 11794-9464
(631) 638-0800
(631) 638-0765
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
269249
NY
Other
Enumeration date
04/08/2009
Last updated
09/16/2015
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