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Contact Information

ANGELITO D TAN, MD
2000 NORTH VILLAGE AVENUE
STE 202
ROCKVILLE CENTRE, NY11570
 Phone: 516-536-5511
 Fax: 516-536-5579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ANGELITO D TAN · (Male)

NPI Number 1831115179
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 09/21/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 126705
  • NY Medicaid 00268406
Hospital affiliation(s) Not Available
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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