Individual
LINDA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
119 VANDERBILT AVE, BROOKLYN, NY 11205-2303
(718) 260-8233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
275203
NY
Other
Enumeration date
07/03/2010
Last updated
12/19/2014
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