Individual
JOSENIA NARCISA MAILED TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1561 LONG POND RD STE 130, ROCHESTER, NY 14626-4136
(585) 723-7765
(585) 273-3637
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 723-7765
(585) 273-3637
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
241466
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
274796
NY
Other
Enumeration date
06/14/2009
Last updated
10/02/2020
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