# LAN PHAM, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396895066
- **Authorized official:** DR. LAN PHUONG VU PHAM M.D. (OPHTHALMOLOGIST)
- **Authorized official phone:** (914) 484-1518

## Contact information

- **Practice address:** 664 STONELEIGH AVE STE 204, CARMEL, NY 10512-3990
- **Practice address phone:** (914) 484-1518
- **Mailing address:** PO BOX 293, MAHOPAC, NY 10541-0293
- **Mailing address phone:** (914) 484-1518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 207363 | NY | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020