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Contact Information

VENESSA C TAN, MD, MPH
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-444-0580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for VENESSA C TAN · (Female)

NPI # 1780845669
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 06/23/2008
Last updated 11/18/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 254334
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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