National Provider Identifier
Vivian C Tan
Vivian C Tan is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 898-3416.
Profile Overview
- NPI
- 1902847197
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- June 09, 2006
- Last Updated
- May 20, 2008
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3416
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1902847197
- Entity Type
- Individual
- Last Name
- Tan
- First Name
- Vivian
- Middle Name
- C
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3416
- Enumeration Date
- June 09, 2006
- Last Updated
- May 20, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 000525320003 (Blue Shield Of Western Ny), 300122828 (Railroad Medicare), 01876553 (NY), 5610372 (Independant Health), 00025568101 (Univera), 2114809W (NY, Workers Compensation), 140848FF (Preferred Care)