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Contact Information

DEBORAH TAN, DO
240 MEETING HOUSE LN
SOUTHAMPTON, NY11968-5009
 Phone: 631-726-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1407435670
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/05/2021
Last updated 08/14/2024 - More than a year ago
Identifiers
CT License # 79114
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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