| Angelito D. Tan, M.d., Pc | |
|
2000 N Village Ave Ste 202 Rockville Centre NY 11570-1078 | |
| (516) 536-5511 | |
| (516) 536-5579 |
| Full Name | Angelito D. Tan, M.d., Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2000 N Village Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Angelito Durano Tan (OWNER) |
| Authorized Official Contact | 5165365511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelito D. Tan, M.d., Pc 2000 N Village Ave Ste 202 Rockville Centre NY 11570-1078 Ph: (516) 536-5511 | Angelito D. Tan, M.d., Pc 2000 N Village Ave Ste 202 Rockville Centre NY 11570-1078 Ph: (516) 536-5511 |
| NPI Number | 1801082219 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 126705 (New York) | Primary |
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