Tan, Grace
Tan, Grace is an sole proprietor health care provider with primary practice located at 834 Fort Salonga Rd Ste D , Northport NY 11768-3157. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tan, Grace can be contacted via phone (631) 757-4440.Contact Information
Primary practice address
834 Fort Salonga Rd Ste D
Northport NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NY TUV 7209 | New York |
Profile Details
| NPI number | 1770776197 |
|---|---|
| LBN Legal business name | Tan, Grace |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Jul 5th, 2016 - about 10 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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