FIDELIS Y TAN

BROOKLYN, NY
NPI1174234967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-12-12
Last Update Date2024-06-27
Business Address
FIDELIS Y TAN
6802 RIDGE BLVD APT 1P
BROOKLYN, NY 11220-5845
Phone number: 646-881-0273
Mailing Address
FIDELIS Y TAN
6802 RIDGE BLVD APT 1P
BROOKLYN, NY 11220-5845
Phone number: 646-881-0273
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