MEDICARE: CLAIRE SUYU TANG

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1457284317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE SUYU TANG

Provider Business Mailing Address
First Line	:	7295 CIRCULO PAPAYO
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-8698
Country	:	US
Telephone Number	:	650-450-6238
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 E 16TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2166
Country	:	US
Telephone Number	:	212-897-2868
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ CLAIRE SUYU TANG ” Practice Location

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