Individual
CHRISTINE FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
222 E 31ST ST APT 1R, NEW YORK, NY 10016-6333
(646) 509-0943
Mailing address
1501 SHAFFER CT, BREA, CA 92821-2729
(562) 458-8945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027643
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
05/07/2026
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