KWEI HAM DANIEL TAN DO PLLC NPI 1558194035

NPI Information

  • NPI: 1558194035
  • Provider Name: KWEI HAM DANIEL TAN, DO PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 120 SYKES ST
    GROTON, NY
    ZIP 13073
  • Phone: (607) 591-5349

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NPI Details

KWEI HAM DANIEL TAN, DO PLLC is a family medicine in Groton, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KWEI HAM DANIEL TAN, DO PLLC NPI is 1558194035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 SYKES ST
GROTON, NY
ZIP 13073-231
Phone: (607) 591-5349
Fax: (607) 428-5077

The provider's authorized official is Winda Dickey .
The authorized official title is Billing Manager and has the following contact phone number (772) 777-0333.

The enumeration date for this NPI number is 8/21/2024 and was last updated on 8/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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