Individual
ERIC FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1234, NEW YORK, NY 10029-6504
(443) 849-3760
Mailing address
1 GUSTAVE L LEVY PL # 1234, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
326610-01
NY
Other
Enumeration date
03/22/2019
Last updated
07/07/2024
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