| Doctor Name: | BARON TANG |
| NPI Number: | 1245513191 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 034341-1 |
| Business Practice Address: | 10650 W State Road 84 Ste 111 Davie, FL - 333244235 |
| Business Phone Number: | 9543706601 |
| Business Fax Number: | 9543443708 |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 209 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | 5187861667 |
| Fax Number: | 5187861954 |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 034341-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |