Rodriguez, Magdalena Tan
Rodriguez, Magdalena Tan is an individual health care provider with primary practice located at 5053 Newtown Rd , Woodside NY 11377-1731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Magdalena Tan can be contacted via phone (718) 334-6140.Contact Information
Primary practice address
5053 Newtown Rd
Woodside NY 11377-1731
Phone: (718) 334-6140
Fax: (718) 334-6137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 199638 | New York |
Profile Details
| NPI number | 1942396858 |
|---|---|
| LBN Legal business name | Rodriguez, Magdalena Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942396858 | NPPES |
| New York | MEDICAID | 00330128 |
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