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

Stephanie Tan

Individual provider Primary Care Clinic/Center · NPI 1871963405

Stephanie Tan is a Primary Care Clinic/Center in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 281783 (NY)

Record details

NPI number1871963405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2015
Last updated in NPPESSeptember 25, 2015
Mailing address111 E 210th St, Bronx, NY 10467-2401

Other providers in Bronx