Individual
FANG DUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 3RD AVE, #205, N/A, NEW YORK, NY 10128
(973) 610-0212
Mailing address
21 DACOTAH AVE, N/A, LAKE HIAWATHA, NJ 07034
(973) 610-0212
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001128
NY
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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