Tan, Rita Mae

Tan, Rita Mae is an sole proprietor health care provider with primary practice located at 11515 101St Ave , South Richmond Hill NY 11419-1247. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Tan, Rita Mae can be contacted via phone (718) 441-5333.

Contact Information

Primary practice address
11515 101St Ave South Richmond Hill NY 11419-1247
Phone: (718) 441-5333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 008595-1 New York

Profile Details

NPI number 1700195302
LBN Legal business name Tan, Rita Mae
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2010
Last updated Sep 29th, 2010 - about 15 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 1700195302 NPPES
New York Other 008595-1 NYS LICENSE NUMBER

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