Individual
ANDY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
488 GREAT NECK RD STE 300, GREAT NECK, NY 11021-4308
(516) 482-6747
(516) 482-4851
Mailing address
488 GREAT NECK RD STE 300, GREAT NECK, NY 11021-4308
(516) 482-6747
(516) 482-4851
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
239285
NY
Other
Enumeration date
07/18/2006
Last updated
03/29/2021
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