Tanke, Susan Roggen

Tanke, Susan Roggen is an individual health care provider with primary practice located at 1400 Pelham Parkway South Building 1 3 West 7, Bronx NY 10461. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Tanke, Susan Roggen can be contacted via phone (718) 918-5446.

Contact Information

Primary practice address
1400 Pelham Parkway South Building 1 3 West 7 Bronx NY 10461
Phone: (718) 918-5446
Fax: (718) 918-6787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000783 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420555 New York

Profile Details

NPI number 1588740880
LBN Legal business name Tanke, Susan Roggen
Credentials CNM, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2006
Last updated Dec 15th, 2017 - about 7 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 1588740880 NPPES
New York MEDICAID 02297698

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