Individual
DR. HUMPHREY FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(212) 263-5800
Mailing address
5203 CENTER BLVD APT 3211, LONG ISLAND CITY, NY 11101-6679
(248) 705-5534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
304834
NY
208M00000X
Hospitalist Physician
Primary
304834
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2017
Last updated
05/07/2025
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