LYDIA T. TAN I RN
NPI 1447766555
Registered Nurse - Psychiatric/Mental Health in Staten Island, NY

Active since December 27, 2017
777 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 667-2499(718) 667-2331 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lydia T. Tan I Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA T. TAN I RN (NPI 1447766555) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (393114-1) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1447766555
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameLYDIA T. TAN ICredential: RN
Location Address777 SEAVIEW AVEStaten Island, NY 10305-3409
Mailing Address777 Seaview AveStaten Island, NY 10305-3409 · (718) 667-2499 · Fax (718) 667-2331
Fax(718) 667-2331
Sole ProprietorYes
Enumeration DateDecember 27, 2017
NPI 1447766555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in NY · 393114-1
777 SEAVIEW AVE, Staten Island, NY 10305

Other Identifiers 1

Medicaid2997157NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE, BUILDING 10
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Health Maintenance Organization
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker (Clinical)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Child & Adolescent Psychiatry)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447766555, enumerated as an "individual" on December 27, 2017.

The provider is located at 777 SEAVIEW AVE STATEN ISLAND, NY 10305 and the phone number is (718) 667-2499.

Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.