Individual
DR. CATHY FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6TH STREET, PARK SLOPE, NY 11215-1433
(718) 380-3672
(718) 780-3672
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(718) 780-3672
(718) 780-3673
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
241734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255652020
—
NY
Enumeration date
06/16/2010
Last updated
04/21/2026
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