Most Relevant Information
Provider Data
| NPI Number: | 1003179433 |
| Provider Name: | PAUL TAN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 56 007878 |
Most Important Dates
| Enumeration Date: | 06/20/2012 |
| Last Updated: | 06/20/2012 |
Provider Practice Location
14467 26TH AVE
1ST FL
FLUSHING
NY
113541326
Practice Location Phone/Fax
| Phone: | 9172150782 |
| Fax: |
Provider Mailing Location
14467 26TH AVE
1ST FL
FLUSHING
NY
113541326
Provider Mailing Phone/Fax
| Phone: | 9172150782 |
| Fax: |