Individual
DR. LENA FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-4070
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
297576-1
NY
207R00000X
Internal Medicine Physician
LP03657
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
297576
NY
Other
Enumeration date
05/16/2016
Last updated
06/10/2021
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