Individual ProviderMiao Zhen TanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address775 57th St, Brooklyn, NY 11220-3505(718) 439-6163PECOS EnrollmentBased on the most recent information from CMS, provider Miao Zhen Tan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1821285834Provider TypeIndividualFull NameTan, Miao ZhenCredentialPAGenderFemaleSole ProprietorNoEnumeration Date10/3/2007Last Updated6/30/2021Contact InformationPractice LocationPractice Address775 57th St, Brooklyn, NY 11220-3505Phone(718) 439-6163FaxUnlisted FaxMailing LocationMailing Address775 57th St, Brooklyn, NY 11220-3505PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense012101New York