Individual
PHYLLIS WAN-HUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5827
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5827
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD 239857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03136208
—
NY
Enumeration date
03/06/2007
Last updated
11/07/2025
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