JUAN TAN

BROOKLYN, NY
NPI1457364895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  138361)
Enumeration Date2006-08-15
Last Update Date2012-12-20
Business Address
-- JUAN TAN
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-4408
Mailing Address
-- JUAN TAN
52 FRANCIS PL
STATEN ISLAND, NY 10304-1432
Phone number: 718-979-9235