IndividualActive
Miranda Tan, DO
NPI 1376862821 · Sleep Medicine (Internal Medicine) Physician · New York, NY
Provider details
- NPI number
- 1376862821
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 270140 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
622 W 168th St Ph 859
New York, NY 10032-3720
Phone: (212) 305-7591
Approximate (ZIP-level) locationGet directions
Mailing address
622 W 168th St Ph 859
New York, NY 10032-3720
Registry dates
- Enumerated
- 2010-05-24
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.