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General NPI Number Information
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NPI Number | 1598932097
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Entity Type | Individual
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Provider Name | MICHAEL HUAN TANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 495 FLATBUSH AVE STE C5
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City | BROOKLYN
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State | NY
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Zip | 11225-3706
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Country | US
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Telephone | 617-775-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 495 FLATBUSH AVE STE C5
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City | BROOKLYN
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State | NY
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Zip | 11225-3706
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Country | US
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Telephone | 617-775-0088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 243541
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 243541
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 243541
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License Number State | MA
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