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Individual

GAOFENG FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, DEPARTMENT OF PATHOLOGY, NUMC, EAST MEADOW, NY 11554-1859
(516) 572-3202
Mailing address
2201 HEMPSTEAD TPKE, DEPARTMENT OF PATHOLOGY, EAST MEADOW, NY 11554-1859
(516) 572-3202
(516) 572-8894

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
NOT YET
NY

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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