Individual
DR. GENE STEVEN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8900 VAN WYCK EXPRESSWAY, JAMAICA, NY 11418
(718) 206-6980
Mailing address
149-45 NORTHERN BLVD, APT.1S, FLUSHING, NY 11354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052683
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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