Individual
CYNTHIA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 GARRETSON AVE, STATEN ISLAND, NY 10305-2329
(718) 864-5692
Mailing address
400 GARRETSON AVE, STATEN ISLAND, NY 10305-2329
(718) 864-5692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1445174201
NY
174400000X
Specialist
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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