Fan, Cathy

Fan, Cathy is an sole proprietor health care provider with primary practice located at 506 6Th Street , Park Slope NY 11215-1433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Fan, Cathy can be contacted via phone (718) 380-3672.

Contact Information

Primary practice address
506 6Th Street Park Slope NY 11215-1433
Fax: (718) 780-3672
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 241734 New York

Profile Details

NPI number 1255652020
LBN Legal business name Fan, Cathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2010
Last updated Jun 17th, 2024 - about 2 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 1255652020 NPPES
New York MEDICAID 1255652020

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