Provider Demographics
NPI:1073704334
Name:TAN, HING-WAH (RN)
Entity Type:Individual
Prefix:MR
First Name:HING-WAH
Middle Name:
Last Name:TAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DEKALB AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1427
Mailing Address - Country:US
Mailing Address - Phone:914-437-7575
Mailing Address - Fax:914-437-7575
Practice Address - Street 1:60 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1427
Practice Address - Country:US
Practice Address - Phone:914-437-7575
Practice Address - Fax:914-437-7575
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY471763163W00000X
NY238176164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No163W00000XNursing Service ProvidersRegistered Nurse