Provider Information for 1134155369
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JAN TANG LMHC
Sex: Female
NPI: 1134155369
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134155369 | ||||||||
| Enumeration Date | 2006-06-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 118-18 UNION TURNPIKE, 21F KEW GARDENS, NY 11415 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 11818 UNION TPKE 21F KEW GARDENS, NY 11415-1037 United States Phone: 917-779-8215 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|