Individual provider · Type 1 NPI

Tina Mei Fan, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1548418437 Active

Practice location

Medical Staff Office T14, Stony Brook University Hospital
Stony Brook, NY 11794-7148

Call (631) 444-2754 Map

Fax (631) 444-6031

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1548418437

Tina Mei Fan, MD's National Provider Identifier is 1548418437, issued on Sep 4, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 4, 2008.