Healthcare Provider Details

I. General information

NPI: 1821903808
Provider Name (Legal Business Name): ALOE DENTAL NY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 57TH ST FL 3
BROOKLYN NY
11220-3677
US

IV. Provider business mailing address

829 57TH ST FL 3
BROOKLYN NY
11220-3677
US

V. Phone/Fax

Practice location:
  • Phone: 718-499-9612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TAN
Title or Position: PRESIDENT
Credential: DDS
Phone: 718-499-9612