Individual
ANGELITA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
14132 CANEY LN, ROSEDALE, NY 11422-2622
(718) 810-9681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344583
NY
Other
Enumeration date
09/24/2019
Last updated
11/07/2024
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