Individual
DR. ALEJANDRO TAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4108 74TH ST, ELMHURST, NY 11373-1847
(718) 651-2800
(718) 779-5116
Mailing address
4108 74TH ST, ELMHURST, NY 11373-1847
(718) 651-2800
(718) 779-5116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
121831
NY
Other
Enumeration date
12/14/2005
Last updated
06/18/2009
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