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Mark Tan, M.d., P.c.
Specialist in Smithtown, New York
NPI 1386828861

Mark Tan, M.d., P.c. is a Specialist based in Smithtown, NY. Mark Tan, M.d., P.c. practices in Smithtown, NY. The NPI Number for Mark Tan, M.d., P.c. is 1386828861 and holds a License No. 165674 (New York).

The current practice location address for Mark Tan, M.d., P.c. is 222 Middle Country Rd, Smithtown, NY and can be reached out via phone at 631-821-5893 and via fax at 631-724-8901.

Location: 222 Middle Country Rd, Smithtown, NY, 11787-2871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386828861
Provider Name
Mark Tan, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
222 Middle Country Rd, Smithtown, NY, 11787-2871
Phone Number
631-821-5893
Fax Number
631-724-8901
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00986705 05 NY
institution
Provider Business Practice Location Address Details
Address
222 Middle Country Rd
City
Smithtown
State
New York
Zip
11787
Phone Number
631-821-5893
Fax Number
631-724-8901
person
Provider Business Mailing Address Details
Address
222 Middle Country Rd
City
Smithtown
State
New York
Zip
11787
Phone Number
631-821-5893
Fax Number
631-724-8901
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
165674 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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