Individual
LUNG HSIUNG PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 MOUNTAIN BROOK DR, VESTAL, NY 13850
(607) 757-0172
(607) 757-0172
Mailing address
8 MOUNTAIN BROOK DR, VESTAL, NY 13850
(607) 757-0172
(607) 757-0172
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
123199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00575860
—
NY
Enumeration date
08/02/2006
Last updated
08/11/2015
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