| Alfonso Tan Md Pc | |
|
297 W Main St Sayville NY 11782-2523 | |
| (631) 589-2323 | |
| (631) 589-9069 |
| Full Name | Alfonso Tan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 297 W Main St, Sayville, New York |
| Authorized Official Name and Position | Alfonso Tan (PRESIDENT) |
| Authorized Official Contact | 6315892323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfonso Tan Md Pc 297 W Main St Sayville NY 11782-2523 Ph: (631) 589-2323 | Alfonso Tan Md Pc 297 W Main St Sayville NY 11782-2523 Ph: (631) 589-2323 |
| NPI Number | 1548348758 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 11/02/2007 |
| Medicare PECOS PAC ID | 7618063066 |
|---|---|
| Medicare Enrollment ID | O20071016000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548348758 | NPI | - | NPPES |
| 00213052 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 115465 (New York) | Primary |
| Provider Name | Alfonso Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588689566 PECOS PAC ID: 9638265184 Enrollment ID: I20071016000081 |
Walk In Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Middle Road, Sayville, NY 11782 Phone: 531-589-4747 Fax: 631-589-4793 | |
Philip Degaetano D.o.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Sayville Blvd, Sayville, NY 11782 Phone: 631-806-1357 |