National Provider Identifier
Josenia Narcisa Mailed Tan, MD
Josenia Narcisa Mailed Tan, MD is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician in Rochester, NY and a listed phone number of (585) 723-7765.
Profile Overview
- NPI
- 1982831228
- Provider Type
- Individual
- Primary Specialty
- Anatomic Pathology & Clinical Pathology Physician
- Enumeration Date
- June 14, 2009
- Last Updated
- October 02, 2020
Practice Location
- 1561 Long Pond RD Ste 130
- Rochester, NY 14626-4136
Phone: (585) 723-7765
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)
Full Record
- NPI
- 1982831228
- Entity Type
- Individual
- Last Name
- Tan
- First Name
- Josenia Narcisa
- Middle Name
- Mailed
- Credential
- MD
- Provider Other Last Name
- Tan
- Provider Other First Name
- Joy
- Provider Other Middle Name
- Mailed
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 723-7765
- Mailing Fax
- (585) 273-3637
- Practice Street Address
- 1561 Long Pond RD Ste 130
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4136
- Practice Country
- US
- Practice Phone
- (585) 723-7765
- Practice Fax
- (585) 273-3637
- Enumeration Date
- June 14, 2009
- Last Updated
- October 02, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), Anatomic Pathology & Clinical Pathology Physician (207ZP0102X)