Fan, Jing

Fan, Jing is an individual health care provider with primary practice located at 14 Peter Turner Rd , Monroe NY 10950-4176. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fan, Jing can be contacted via phone (845) 238-9500.

Contact Information

Primary practice address
14 Peter Turner Rd Monroe NY 10950-4176
Phone: (845) 238-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 700682 New York

Profile Details

NPI number 1154794907
LBN Legal business name Fan, Jing
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154794907 NPPES
New York MEDICAID 6004868328175010818

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