Shao Yue Tan M.D.

NPI 1487802666 - Family Medicine - 207Q00000X

NPI Details
NPI 1487802666
Gender Male
Enumeration Date 08/31/2008
Last Updated 11/16/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
5314 7TH AVE
1FL
BROOKLYN NY, 11220-2546, US
Phone (718) 686-6888
Fax (718) 686-6887
Business Location
5314 7TH AVE
1FL
BROOKLYN NY, 11220-2546, US
Phone (917) 257-6194
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 250021
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According to our database, Shao Yue Tan M.D. NPI is 1487802666, taxonomy code is 207Q00000X and license number is 250021, license state is located at New York. Shao Yue Tan M.D. physically located at 5314 7th Ave, Brooklyn NY, 11220-2546. NPI Number Shao Yue Tan M.D. has the Individual type.

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1487802666 NPI number is provided on an as is basis without warranty of any kind. 1487802666 is maintained by the National Plan & Provider Enumeration System. The contents of Shao Yue Tan M.D. are for informational purposes only.