Individual
DR. FENGSHUO LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
STONY BROOK UNIVERSITY CANCER CTR, 3 EDMUND D. PELLEGRINO ROAD, STONY BROOK, NY 11794-0001
(631) 638-1000
(631) 444-0915
Mailing address
STONY BROOK UNIVERSITY CANCER CTR, 3 EDMUND D. PELLEGRINO ROAD, STONY BROOK, NY 11794-0001
(631) 638-1000
(631) 444-0915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
233819
NY
207R00000X
Internal Medicine Physician
233819
NY
207RH0003X
Hematology & Oncology Physician
Primary
233819
NY
Other
Enumeration date
01/03/2007
Last updated
06/28/2013
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