Tan, Angelito Durano

Tan, Angelito Durano is an individual health care provider with primary practice located at 2000 North Village Avenue Ste 202, Rockville Centre NY 11570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tan, Angelito Durano can be contacted via phone (516) 536-5511.

Contact Information

Primary practice address
2000 North Village Avenue Ste 202 Rockville Centre NY 11570
Fax: (516) 536-5579
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 126705 New York

Profile Details

NPI number 1831115179
LBN Legal business name Tan, Angelito Durano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831115179 NPPES
New York MEDICAID 00268406

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