Organization
FANG OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH FANG M.D. (PRESIDENT)
(212) 674-8327
Entity
Organization
Contact information
Practice address
237 E 20TH ST, SUITE 1F, NEW YORK, NY 10003-1805
(212) 674-8327
(212) 505-0719
Mailing address
15 PARK AVE, C/O PARK AVE. MEDICAL GROUP, NEW YORK, NY 10016-4348
(212) 674-8327
(212) 505-0719
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
208011
NY
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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