Mark Tan, M.D., P.C.

LBN: Mark Tan, M.D., P.C.
Mark Tan, M.D., P.C. is an health care organization with primary practice located at 222 Middle Country Rd Suite # 312, Smithtown NY 11787. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mark Tan, M.D., P.C. can be contacted via phone (631) 821-5893, or through Tan, Mark via phone (631) 724-8900.

Contact Information

Primary practice address
222 Middle Country Rd Suite # 312 Smithtown NY 11787
Phone: (631) 821-5893
Fax: (631) 724-8901
Website:
Map and Directions
Authorized official contact:
Name: Tan, Mark Doctor of Medicine (MD)
Phone: (631) 724-8900

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 165674 New York

Profile Details

NPI number 1386828861
LBN Legal business name Mark Tan, M.D., P.C.
DBA Doing business as
Authorized official Tan, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Jan 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386828861 NPPES
New York MEDICAID 00986705

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