NPI 1003179433

Paul Tan, OD

Practitioner Optometrist Flushing, NY

Practice location

Address: 14467 26th Ave 1st Fl, Flushing, NY 11354-1326
Phone: (917) 215-0782

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 56 007878 (NY)

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Registry record

NPI: 1003179433
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2012
Record last updated: 20 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.