National Provider Identifier
Conchita Tan, MD
Conchita Tan, MD is listed in the NPPES registry with a primary specialty of Gynecology Physician in West Seneca, NY and a listed phone number of (716) 675-1410.
Profile Overview
- NPI
- 1710956875
- Provider Type
- Individual
- Primary Specialty
- Gynecology Physician
- Enumeration Date
- March 14, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3648 Seneca Street
- West Seneca, NY 14224-3400
Phone: (716) 675-1410
Specialties
- Gynecology Physician (207VG0400X)
Full Record
- NPI
- 1710956875
- Entity Type
- Individual
- Last Name
- Tan
- First Name
- Conchita
- Credential
- MD
- Mailing Street Address
- 3648 Seneca Street
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3400
- Mailing Country
- US
- Mailing Phone
- (716) 675-1410
- Mailing Fax
- (716) 675-4041
- Practice Street Address
- 3648 Seneca Street
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3400
- Practice Country
- US
- Practice Phone
- (716) 675-1410
- Practice Fax
- (716) 675-4041
- Enumeration Date
- March 14, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gynecology Physician (207VG0400X)
- Other Identifiers
- 00649550 (NY)