Individual
SHARON FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1980 CROMPOND RD, CORTLANDT MANOR, NY 10567-4144
(914) 788-4635
Mailing address
1980 CROMPOND RD, CORTLANDT MANOR, NY 10567-4144
(914) 788-4635
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
027195
NY
363AS0400X
Surgical Physician Assistant
—
NY
Other
Enumeration date
07/16/2021
Last updated
12/22/2022
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