DR. Paul Tan, O.D.

NPI #1003179433 in Flushing, New York

Provider Information

NPI Number: 1003179433
Entity Type: Individual
Name: DR. Paul Tan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 14467 26TH AVE
Address 2: 1ST FL
City: Flushing
State: New York
ZIP Code: 11354-1326
Phone: (917) 215-0782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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