Individual
JUN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE DEPT OF, NEW YORK, NY 10029-6508
(212) 241-5737
Mailing address
1468 MADISON AVE DEPT OF, NEW YORK, NY 10029-6508
(433) 607-3934
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
311553
NY
Other
Enumeration date
03/20/2017
Last updated
01/03/2024
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