Individual
DEBRA H PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467
(718) 741-2450
Mailing address
3411 WAYNE AVE, BRONX, NY 10467-2509
(718) 741-2332
(718) 515-5426
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
230154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667292
—
NY
Enumeration date
10/31/2006
Last updated
06/18/2019
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