SearchNew York363A00000X

Fidelis Tan

NPI 1174234967 · on the registry since 2022 · sole proprietor

Practice

Address
6802 Ridge Blvd Apt 1p
Brooklyn, NY 11220
Phone
(646) 881-0273
Organisation at this address
Welfare Rehab Pt Pc
Commitment Care Pt.,Pc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York