Fan, Wen
Fan, Wen is an individual health care provider with primary practice located at 10 Nathan D Perlman Place Suite 12S34, New York NY 10003-3851. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Fan, Wen can be contacted via phone (212) 420-2124.Contact Information
Primary practice address
10 Nathan D Perlman Place Suite 12S34
New York NY 10003-3851
Phone: (212) 420-2124
Fax: (212) 420-3449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 232248 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 232248 | New York |
Profile Details
| NPI number | 1457499543 |
|---|---|
| LBN Legal business name | Fan, Wen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Dec 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457499543 | NPPES |
| New York | MEDICAID | 02860346 | |
| New York | Other | 3Z11275252 |
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