Individual
DR. PHOEBE YUANMEI PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
128 MOTT ST STE 408, NEW YORK, NY 10013-5588
(212) 732-0073
(212) 732-0191
Mailing address
897 HERKIMER ST APT 1B, BROOKLYN, NY 11233-6969
(832) 488-5872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009159
NY
152WC0802X
Corneal and Contact Management Optometrist
009159
NY
152WP0200X
Pediatric Optometrist
009159
NY
Other
Enumeration date
07/01/2020
Last updated
04/23/2024
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