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Individual

MS. JIANG FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
525 EAT 68TH STREET, F439, NEW YORK, NY 10021
(212) 746-6700
Mailing address
525 EAST 68TH STREET, NEW YORK, NY 10021
(212) 746-6700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18058
SC

Other

Enumeration date
12/04/2012
Last updated
01/13/2014
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