Individual
DR. CYNTHIA PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56-45 MAIN STREET, DEPT OF MEDICINE, FLUSHING, NY 11355
(718) 670-2524
Mailing address
5907 175TH PL, 2ND FLOOR, FRESH MEADOWS, NY 11365-1551
(718) 939-2273
(718) 746-6168
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1951301
NY
208VP0000X
Pain Medicine Physician
1951301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01745422
—
NY
Enumeration date
02/28/2006
Last updated
06/21/2024
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