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ANGELITO D. TAN M.D. PC NPI 1801082219


NPI Information

NPI: 1801082219
Provider Name: ANGELITO D. TAN, M.D., PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2000 N VILLAGE AVE
STE 202
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 536-5511
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ANGELITO D. TAN, M.D., PC is a neurology psychiatry neurology in Rockville Centre, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ANGELITO D. TAN, M.D., PC NPI is 1801082219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 N VILLAGE AVE
STE 202
ROCKVILLE CENTRE, NY
ZIP 11570-078
Phone: (516) 536-5511
Fax: (516) 536-5579

The provider's authorized official is Angelito Durano Tan .
The authorized official title is Owner and has the following contact phone number (516) 536-5511.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/21/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology126705NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WEH631MEDICARE PINNEW YORK

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: 4/28/2024

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