Individual
DONNA KIM PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE STE 336, NEW YORK, NY 10032-3729
(212) 305-3408
Mailing address
161 FORT WASHINGTON AVE STE 336, NEW YORK, NY 10032-3729
(212) 305-3408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
308065-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
06/30/2025
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