Individual
MS. DANYI PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10818 OTIS AVE FL 2, CORONA, NY 11368-3955
(929) 231-5889
Mailing address
10818 OTIS AVE FL 2, CORONA, NY 11368-3955
(929) 231-5889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326793
NY
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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