Individual
CALEB FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
186 E 76TH ST, NEW YORK, NY 10021-2822
(212) 434-2323
Mailing address
186 E 76TH ST, NEW YORK, NY 10021-2822
(410) 955-3080
(212) 434-2323
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
327077-01
NY
Other
Enumeration date
01/15/2015
Last updated
07/14/2025
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