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Lifan Fan
Student in an Organized Health Care Education/Training Program in Bay Shore, New York
NPI 1639810567

Lifan Fan is a Student in an Organized Health Care Education/Training Program based in Bay Shore, NY. Lifan Fan practices in Bay Shore, NY. The NPI Number for Lifan Fan is 1639810567 and holds a License No. (New York).

The current practice location address for Lifan Fan is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-894-5334.

Location: 301 E Main St, Bay Shore, NY, 11706-8408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639810567
Provider Name
Lifan Fan
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St, Bay Shore, NY, 11706-8408
Phone Number
631-894-5334
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-894-5334
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-894-5334
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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