Vivian W Fan

NPI 1720262835 - Pharmacist - 183500000X

NPI Details
NPI 1720262835
Gender Female
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
5508 METROPOLITAN AVE
RIDGEWOOD NY, 11385-1221, US
Phone (718) 418-3841
Fax
Business Location
21958 64TH AVE
APT#C
OAKLAND GARDENS NY, 11364-2246, US
Phone (718) 631-5245
Fax
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 039255
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According to our database, Miss Vivian W Fan NPI is 1720262835, taxonomy code is 183500000X and license number is 039255, license state is located at New York. Vivian W Fan physically located at 5508 Metropolitan Ave, Ridgewood NY, 11385-1221. NPI Number Vivian W Fan has the Individual type.

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1720262835 NPI number is provided on an as is basis without warranty of any kind. 1720262835 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian W Fan are for informational purposes only.