Individual
CHYNE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 MOTT ST STE 301, NEW YORK, NY 10013-5575
(212) 274-1577
Mailing address
128 MOTT ST STE 301, NEW YORK, NY 10013-5575
(212) 274-1577
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
196566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196566
LICENSE
NY
Enumeration date
01/22/2007
Last updated
02/22/2017
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