DR. Grace Tan, O.D.

NPI #1770776197 in Northport, New York

Provider Information

NPI Number
1770776197
Entity Type
Individual
Name
DR. Grace Tan, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 20, 2007
Last Updated
Jul 5, 2016

Practice Location

Address
834 FORT SALONGA RD STE D
ZIP Code
11768-3157
Phone
(631) 757-4440

Specialties & Taxonomy Codes

Specialty
Optometrist

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