National Provider Identifier
Alfonso Tan III, MD
Alfonso Tan III, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 835-1246.
Profile Overview
- NPI
- 1134296171
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- November 28, 2006
- Last Updated
- February 14, 2011
Practice Location
- 462 Grider St
- 11Th Floor
- Buffalo, NY 14215-3021
Phone: (716) 835-1246
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1134296171
- Entity Type
- Individual
- Last Name
- Tan
- First Name
- Alfonso
- Name Prefix
- Dr.
- Name Suffix
- III
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing Address Line 2
- 11Th Floor
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 835-1246
- Mailing Fax
- (716) 835-0396
- Practice Street Address
- 462 Grider St
- Practice Address Line 2
- 11Th Floor
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 835-1246
- Practice Fax
- (716) 835-0396
- Enumeration Date
- November 28, 2006
- Last Updated
- February 14, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)