Individual
NANCY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6100
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
228066
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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