Individual provider · Type 1 NPI
Stephanie Tan
Primary Care Clinic/Center · Bronx, NY
NPI number
1871963405
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 281783 (NY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1871963405
Stephanie Tan's National Provider Identifier is 1871963405, issued on Sep 25, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bronx, NY. The record was last updated on Sep 25, 2015.