FORD TAN

BROOKLYN, NY
NPI1417319435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  710122)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- FORD TAN
2441A E 14TH ST
BROOKLYN, NY 11235-3901
Phone number: 718-809-6761
Mailing Address
-- FORD TAN
2441A E 14TH ST
BROOKLYN, NY 11235-3901
Phone number: 718-809-6761