Individual
WEN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 NATHAN D PERLMAN PLACE, SUITE 12S34, NEW YORK, NY 10003-3851
(212) 420-2124
(212) 420-3449
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1702
(516) 542-1090
(770) 666-9097
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
232248
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
232248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02860346
—
NY
01
—
3Z11275252
NGS
NY
Enumeration date
02/02/2007
Last updated
12/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us