Individual
ZHE FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8611 WHITNEY AVE APT 5D, ELMHURST, NY 11373-3632
(718) 412-0089
Mailing address
8611 WHITNEY AVE APT 5D, ELMHURST, NY 11373-3632
(718) 412-0089
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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