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Contact Information

ELLEN PAN, MD
8301 BAY PARKWAY
SUITE 103
BROOKLYN, NY11214
 Phone: 718-236-7772
 Fax: 718-256-4178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ELLEN PAN · (Female)

NPI # 1003813247
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 02/09/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 136911-1
  • NY Medicaid 05589708-9
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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