Stephanie Tan

NPI #1871963405 in Bronx, New York

Provider Information

NPI Number: 1871963405
Entity Type: Individual
Name: Stephanie Tan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Sep 25, 2015
Last Updated: Sep 25, 2015

Practice Location

Address: 111 E 210TH ST
City: Bronx
State: New York
ZIP Code: 10467-2401
Phone: (718) 920-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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