Individual
TZANWEI FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
369 E MAIN ST, SUITE 18, EAST ISLIP, NY 11730-2800
(631) 277-1600
(631) 277-1638
Mailing address
369 E MAIN ST, SUITE 18, EAST ISLIP, NY 11730-2800
(631) 277-1600
(631) 277-1600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
258587
NY
2085R0202X
Diagnostic Radiology Physician
Primary
D70349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621300600
—
MD
Enumeration date
12/03/2009
Last updated
05/26/2011
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