MEDICARE: BRIAN M TAN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	031219	NY

General Provider Information

NPI Number	:	1316247083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN M TAN OT

Provider Business Mailing Address
First Line	:	4041 BAYCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 BAYCHESTER AVE
Second Line	:	FLOOR 1
City	:	BRONX
State	:	NY
Zip	:	10466-2313
Country	:	US
Telephone Number	:	718-231-9730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	10/28/2010

Similar Medicare Providers

1801055835 — CYNTHIA EDWARDS OTR
Practice Location Address:

4041 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 718-655-1362
Practice Fax: 718-515-3868

1477782571 — EDWARDS REHABILITATION SERVICES PC
Practice Location Address:

4041 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 718-231-9730
Practice Fax: 718-515-3868

1780972448 — SARAH JANE DUCKETT
Practice Location Address:

4093 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 646-662-1317
Practice Fax:

1386195642 — DYAMOND GLEAVES
Practice Location Address:

4091 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 917-969-6694
Practice Fax:

1730856162 — NICOLE DORSIN RN
Practice Location Address:

4061 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 917-312-0683
Practice Fax:

1871364505 — COLETTE VINCENT NP IN FAMILY HEALTH PLLC
Practice Location Address:

4057 BAYCHESTER AVE
BRONX, NY
10466-2313

Practice Phone: 914-469-0700
Practice Fax:

Directions to “ BRIAN M TAN OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.