Individual
DR. ENGKOCK TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3137 32ND ST, ASTORIA, NY 11106-2532
(212) 665-5992
(212) 665-1855
Mailing address
3137 32ND ST, ASTORIA, NY 11106-2532
(212) 665-5992
(212) 665-1855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00119413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223863
—
NY
Enumeration date
02/27/2007
Last updated
07/09/2007
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