Individual
CHIXIN FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 58TH ST # 1A, BROOKLYN, NY 11220-3917
(718) 439-7288
(718) 439-0788
Mailing address
95 SPARKILL AVE, STATEN ISLAND, NY 10304-3135
(718) 439-7288
(718) 439-0788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02597542
—
NY
Enumeration date
07/18/2006
Last updated
12/12/2011
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