Individual
DR. LI PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
322595
NY
Other
Enumeration date
05/05/2020
Last updated
03/22/2024
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