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

Minyi Tan, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1801039789

Minyi Tan, MD is an Anesthesiology in Stony Brook, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Agi Medical PLLC, a 6-clinician group. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3 Edmund D Pellegrino Rd Stony Brook Anaesthesiology - Pain Management Ctr
Stony Brook, NY 11794-9464
Phone: (631) 638-0800
Fax: (631) 638-0765
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 269249 (NY)

Record details

NPI number1801039789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2009
Last updated in NPPESSeptember 16, 2015
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Agi Medical Pllc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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