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Individual

FUNG NGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17 EAST BROADWAY, #401, NEW YORK, NY 10002
(212) 406-7379
(212) 406-7378
Mailing address
17 EAST BROADWAY, #401, NEW YORK, NY 10002
(212) 406-7379
(212) 406-7378

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204389
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01856360
NY
Enumeration date
11/13/2006
Last updated
08/24/2012
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