| Wei Yan Tan Physician. P.c. | |
|
281 Syosset Woodbury Rd Woodbury NY 11797-1205 | |
| (917) 334-2922 | |
| Not Available |
| Full Name | Wei Yan Tan Physician. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 281 Syosset Woodbury Rd, Woodbury, New York |
| Authorized Official Name and Position | Weiyan Tan (CEO) |
| Authorized Official Contact | 9173342922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wei Yan Tan Physician. P.c. 281 Syosset Woodbury Rd Woodbury NY 11797-1205 Ph: (917) 334-2922 | Wei Yan Tan Physician. P.c. 281 Syosset Woodbury Rd Woodbury NY 11797-1205 Ph: (917) 334-2922 |
| NPI Number | 1649600651 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 11/22/2013 |
| Medicare PECOS PAC ID | 8426275215 |
|---|---|
| Medicare Enrollment ID | O20140819001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649600651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225855 (New York) | Primary |
| Provider Name | Weiyan Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174511000 PECOS PAC ID: 0042494759 Enrollment ID: I20140820000653 |
| Provider Name | Yu-han Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972116309 PECOS PAC ID: 2062824360 Enrollment ID: I20201210000644 |
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