Pan, Ellen
Pan, Ellen is an sole proprietor health care provider with primary practice located at 8301 Bay Parkway Suite 103, Brooklyn NY 11214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Pan, Ellen can be contacted via phone (718) 236-7772.Contact Information
Primary practice address
8301 Bay Parkway Suite 103
Brooklyn NY 11214
Phone: (718) 236-7772
Fax: (718) 256-4178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 136911-1 | New York |
Profile Details
| NPI number | 1003813247 |
|---|---|
| LBN Legal business name | Pan, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Feb 9th, 2011 - about 15 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 | 1003813247 | NPPES |
| New York | MEDICAID | 05589708-9 |
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