Tan, Edwin C
Tan, Edwin C is an individual health care provider with primary practice located at 13626 37Th Ave , Flushing NY 11354-6533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tan, Edwin C can be contacted via phone (718) 886-1200.Contact Information
Primary practice address
13626 37Th Ave
Flushing NY 11354-6533
Phone: (718) 886-1200
Fax: (718) 886-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 132804 | New York |
Profile Details
| NPI number | 1073506713 |
|---|---|
| LBN Legal business name | Tan, Edwin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 2nd, 2019 - about 5 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 | 1073506713 | NPPES |
| New York | MEDICAID | 00377633 |
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