Individual
FAN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 DEVONSHIRE CT, PLAINVIEW, NY 11803-3230
(516) 906-1120
Mailing address
25 DEVONSHIRE CT, PLAINVIEW, NY 11803-3230
(516) 906-1120
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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