| Miss Vivian W Fan, | |
|
5508 Metropolitan Ave, Ridgewood, NY 11385-1221 | |
| (718) 418-3841 | |
| Not Available |
| Full Name | Miss Vivian W Fan |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 5508 Metropolitan Ave, Ridgewood, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720262835 | NPI | - | NPPES |
| 01665838 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 039255 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Vivian W Fan, 21958 64th Ave, Apt#c, Oakland Gardens, NY 11364-2246 Ph: (718) 631-5245 | Miss Vivian W Fan, 5508 Metropolitan Ave, Ridgewood, NY 11385-1221 Ph: (718) 418-3841 |
Roy Mahesh, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6032 Fresh Pond Road, Ridgewood, NY 11385 Phone: 718-304-9764 | |
Saif Inshanally, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 329-339 Wyckoff Avenue, Ridgewood, NY 11385 Phone: 718-628-3971 | |
Dr. Giovanni Como Jr., PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6687 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-821-3271 | |
Trisha M Harripersaud, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5456a Myrtle Ave, Ridgewood, NY 11385 Phone: 718-399-6900 Fax: 718-366-6901 | |
Edward C Peters, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 66-87 Fresh Pond Road, Mil-rue Chemists, Inc, Ridgewood, NY 11385 Phone: 718-821-3271 Fax: 718-386-9777 | |
Mina Eid, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 604 Fairview Ave, 1r, Ridgewood, NY 11385 Phone: 347-359-7974 | |
Hala Hassan, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 329-339 Wyckoff Avenue, Ridgewood, NY 11385 Phone: 718-628-3971 |