Individual
FANFAN HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7415 37TH AVE, JACKSON HEIGHTS, NY 11372-6339
(718) 957-4400
Mailing address
190 E 206TH ST APT 4E, BRONX, NY 10458-1115
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F355920-01
NY
Other
Enumeration date
02/04/2026
Last updated
03/13/2026
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