Search › New York › 207RS0012X

Miranda Tan, DO

NPI 1376862821 · on the registry since 2010

Practice

Address
622 W 168th St Ph 859
New York, NY 10032
Phone
(212) 305-7591

Registry record

Primary taxonomy
207RS0012X
207RS0012X
Also registered as
207RP1001X
207R00000X
207RP1001X
207R00000X
207RC0200X
207RC0200X
Licence states on file
NY, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York