Jun Fan, | |
1468 Madison Ave Dept Of, New York, NY 10029-6508 | |
(212) 241-5737 | |
Not Available |
Full Name | Jun Fan |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1468 Madison Ave Dept Of, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295276509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 311553 (New York) | Primary |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104162700 PECOS PAC ID: 2264691070 Enrollment ID: O20130601000000 |
Mailing Address | Practice Location Address |
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Jun Fan, 1468 Madison Ave Dept Of, New York, NY 10029-6508 Ph: (433) 607-3934 | Jun Fan, 1468 Madison Ave Dept Of, New York, NY 10029-6508 Ph: (212) 241-5737 |
Dr. Phillip Kaplan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 325 N End Ave, 10-k, New York, NY 10282 Phone: 212-945-0869 Fax: 212-945-0869 | |
Dr. Iris Teo, Pathology Medicare: Not Enrolled in Medicare Practice Location: 504 E 89th St, New York, NY 10128 Phone: 646-535-5553 | |
Dr. Alexander K Lyashchenko, Pathology Medicare: Not Enrolled in Medicare Practice Location: 8 Magaw Pl Apt 24b, New York, NY 10033 Phone: 917-463-9183 | |
Alexandra Budhai, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2000 | |
Dr. Farshad Shafizadeh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 461 Park Ave S, 5th Floor, New York, NY 10016 Phone: 212-777-8566 Fax: 646-536-8738 | |
Narasimhan P Agaram, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2000 | |
Margaret Brandwein-weber, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Tenth Avenue, New York, NY 10019 Phone: 212-523-8641 Fax: 212-523-7232 |