Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Giou Angelo Sarigumba Tan

Individual provider Registered Nurse · NPI 1720931306

Keith Giou Angelo Sarigumba Tan is a Registered Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1459 E Forks Rd
Bay Shore, NY 11706-4318
Phone: (631) 992-2547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 779113-01 (NY)

Record details

NPI number1720931306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 15, 2026

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