DR. Amil Kusain Tan JR., PHD, RN, FNP

NPI #1467293126 in Woodside, New York

Provider Information

NPI Number
1467293126
Entity Type
Individual
Name
DR. Amil Kusain Tan JR., PHD, RN, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
PHD, RN, FNP
Enumeration Date
Jun 5, 2024
Last Updated
Jun 5, 2024

Practice Location

Address
5718 WOODSIDE AVE STE 101
ZIP Code
11377-3400
Phone
(917) 633-7710

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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