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Vivian C Tan
Diagnostic Radiology Physician in Buffalo, New York
NPI 1902847197

Vivian C Tan is a Diagnostic Radiology Physician based in Buffalo, NY and is specialized in Diagnostic Radiology. Vivian C Tan practices in Buffalo, NY. The NPI Number for Vivian C Tan is 1902847197 and holds a License No. 2114801 (New York).

The current practice location address for Vivian C Tan is 462 Grider St, Buffalo, NY and can be reached out via phone at 716-898-3416.

Location: 462 Grider St, Buffalo, NY, 14215-3021
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Provider Profile Details
NPI Number
1902847197
Provider Name
Vivian C Tan
Credential
Provider Entity Type
Individual
Gender
Female
Address
462 Grider St, Buffalo, NY, 14215-3021
Phone Number
716-898-3416
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000525320003 01 BLUE SHIELD OF WESTERN NY
300122828 01 RAILROAD MEDICARE
01876553 05 NY
5610372 01 INDEPENDANT HEALTH
00025568101 01 UNIVERA
2114809W 01 NY WORKERS COMPENSATION
140848FF 01 PREFERRED CARE
institution
Provider Business Practice Location Address Details
Address
462 Grider St
City
State
Zip
14215-3021
Phone Number
716-898-3416
Fax Number
person
Provider Business Mailing Address Details
Address
462 Grider St
City
State
Zip
14215-3021
Phone Number
716-898-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2114801 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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