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Vivian Ty Wan, DO
Obstetrics & Gynecology Physician in New York, New York
NPI 1659832251

Vivian Ty Wan is a Obstetrics & Gynecology Physician based in New York, NY. Vivian Ty Wan practices in New York, NY and has the professional credentials of DO. The NPI Number for Vivian Ty Wan is 1659832251 and holds a License No. (New York).

The current practice location address for Vivian Ty Wan is 128 Mott St Ste 501, New York, NY and can be reached out via phone at 212-587-8838.

Location: 128 Mott St Ste 501, New York, NY, 10013-5575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659832251
Provider Name
Vivian Ty Wan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
128 Mott St Ste 501, New York, NY, 10013-5575
Phone Number
212-587-8838
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
128 Mott St Ste 501
City
New York
State
New York
Zip
10013-5575
Phone Number
212-587-8838
Fax Number
person
Provider Business Mailing Address Details
Address
128 Mott St Ste 501
City
New York
State
New York
Zip
10013-5575
Phone Number
212-587-8838
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
322276 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
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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