Woo, Penelope Tan

Woo, Penelope Tan is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Woo, Penelope Tan can be contacted via phone (718) 334-5970.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Phone: (718) 334-5970
Fax: (718) 334-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302892 New York

Profile Details

NPI number 1477659704
LBN Legal business name Woo, Penelope Tan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 8th, 2016 - about 8 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 1477659704 NPPES
New York MEDICAID 00246075

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