Tan, Conchita
Tan, Conchita is an individual health care provider with primary practice located at 3648 Seneca Street , West Seneca NY 14224-3400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tan, Conchita can be contacted via phone (716) 675-1410.Contact Information
Primary practice address
3648 Seneca Street
West Seneca NY 14224-3400
Phone: (716) 675-1410
Fax: (716) 675-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 1179141 | New York |
Profile Details
| NPI number | 1710956875 |
|---|---|
| LBN Legal business name | Tan, Conchita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 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 | 1710956875 | NPPES |
| New York | MEDICAID | 00649550 |
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