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1912982612
ALEJANDRO TAN SO
ELMHURST, NY
NPI
1912982612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 121831)
Enumeration Date
2005-12-14
Last Update Date
2009-06-18
Business Address
Dr. ALEJANDRO TAN SO m.d.
4108 74TH ST
ELMHURST, NY 11373-1847
Phone number: 718-651-2800
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Mailing Address
Dr. ALEJANDRO TAN SO m.d.
4108 74TH ST
ELMHURST, NY 11373-1847
Phone number: 718-651-2800
Copy
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