Individual provider · Type 1 NPI

Andy Nan

Physician Assistant · Elmhurst, NY

NPI number 1104708254 Active

Practice location

9425 60th Ave
Elmhurst, NY 11373-5069

Call (718) 760-0797 Map

Mailing address

209 Evergreen Ave
Bethpage, NY 11714-1221

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104708254

Andy Nan's National Provider Identifier is 1104708254, issued on Jul 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 21, 2025.