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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1700195302 | NPPES |
| New York | Other | 008595-1 | NYS LICENSE NUMBER |
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