Individual
DR. JANE J AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6575
(718) 226-1450
Mailing address
222 STATION PLZ N STE 310, MINEOLA, NY 11501-3893
(516) 663-3822
(516) 663-4740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09815500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0508292
—
NJ
Enumeration date
08/20/2010
Last updated
12/10/2019
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