Individual
CONCEPCION V TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2746 OCEAN AVE, BROOKLYN, NY 11229
(718) 769-8305
(718) 332-2956
Mailing address
141 MIDWOOD ST, BROOKLYN, NY 11225
(718) 469-1717
(718) 332-2956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
111610
NY
2080P0207X
Pediatric Hematology & Oncology Physician
111610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638197
—
NY
Enumeration date
08/10/2005
Last updated
09/11/2025
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