Individual provider · Type 1 NPI
Keith Giou Angelo Sarigumba Tan
Registered Nurse · Bay Shore, NY
Practice location
1459 E Forks Rd
Bay Shore, NY 11706-4318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 779113-01 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1720931306
Keith Giou Angelo Sarigumba Tan's National Provider Identifier is 1720931306, issued on Feb 16, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bay Shore, NY. The record was last updated on Feb 16, 2026.