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Contact Information

KASON WAN, PA
270-05 76TH AVENUE
NEW HYDE PARK, NY11040-1402
 Phone: 718-470-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KASON WAN · (Male)

NPI # 1063950384
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 020574-1
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
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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