Individual
CANDY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 WILSON ST, GARDEN CITY, NY 11530-2414
(917) 361-3165
Mailing address
81 WILSON ST, GARDEN CITY, NY 11530-2414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
447056101
NY
174400000X
Specialist
Primary
527590111
NY
174400000X
Specialist
554711111
NY
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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