Organization
ANGELITO D. TAN, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELITO DURANO TAN M.D. (OWNER)
(516) 536-5511
Entity
Organization
Contact information
Practice address
2000 N VILLAGE AVE, STE 202, ROCKVILLE CENTRE, NY 11570-1078
(516) 536-5511
(516) 536-5579
Mailing address
2000 N VILLAGE AVE, STE 202, ROCKVILLE CENTRE, NY 11570-1078
(516) 536-5511
(516) 536-5579
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
126705
NY
Other
Enumeration date
09/19/2007
Last updated
09/21/2007
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