STEPHANIE TAN

BRONX, NY
NPI1871963405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: NY  281783)
Enumeration Date2015-09-25
Last Update Date2015-09-25
Business Address
-- STEPHANIE TAN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
-- STEPHANIE TAN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: