Individual
DR. ELAINE Y. WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
177 FORT WASHINGTON AVE, 6TH FLOOR, CTR 12, NEW YORK, NY 10032-3733
(212) 305-2913
Mailing address
630 WEST 168 STREET, BOX 4, NEW YORK, NY 10032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243198
NY
207RC0000X
Cardiovascular Disease Physician
243198
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
243198
NY
Other
Enumeration date
08/15/2007
Last updated
05/19/2021
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