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Conchita Tan, MD
Gynecology Physician in West Seneca, New York
NPI 1710956875

Conchita Tan is a Gynecology Physician based in West Seneca, NY and is specialized in Gynecology. Conchita Tan practices in West Seneca, NY and has the professional credentials of MD. The NPI Number for Conchita Tan is 1710956875 and holds a License No. 1179141 (New York).

The current practice location address for Conchita Tan is 3648 Seneca Street, West Seneca, NY and can be reached out via phone at 716-675-1410 and via fax at 716-675-4041.

Location: 3648 Seneca Street, West Seneca, NY, 14224-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710956875
Provider Name
Conchita Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3648 Seneca Street, West Seneca, NY, 14224-3400
Phone Number
716-675-1410
Fax Number
716-675-4041
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00649550 05 NY
institution
Provider Business Practice Location Address Details
Address
3648 Seneca Street
City
West Seneca
State
New York
Zip
14224-3400
Phone Number
716-675-1410
Fax Number
716-675-4041
person
Provider Business Mailing Address Details
Address
3648 Seneca Street
City
West Seneca
State
New York
Zip
14224-3400
Phone Number
716-675-1410
Fax Number
716-675-4041
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
1179141 (New York)
Definition
Definition to come...
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