Individual
DAWN XH FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
575 A PARK AVENUE, NEW YORK, NY 10021
(212) 308-2088
(212) 535-2550
Mailing address
575 A PARK AVENUE, NEW YORK, NY 10021
(212) 308-2088
(212) 535-2550
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10767590
CAQH
—
01
—
P1096336
OXFORD
—
Enumeration date
03/30/2007
Last updated
07/08/2007
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