Mrs. Ellen Pan
Ophthalmologist
8301 Bay Parkway Suite 103
Brooklyn
, New York 11214
Mrs. Ellen Pan
Ophthalmologist
8301 Bay Parkway Suite 103
Brooklyn
, New York 11214
(718) 256-4178
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Mrs. Ellen Pan
- 8301 Bay Parkway Suite 103
- Brooklyn, NY
- Zip : 11214
- Fax : (718) 256-4178
- Phone : (718) 236-7772
Second Address
- Mrs. Ellen Pan
- 8301 Bay Parkway Suite 103
- Brooklyn, NY
- Zip : 11214
- Fax : (718) 256-4178
- Phone : (718) 236-7772
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 136911-1 | NY |
National Provider Identifier
| NPI | 1003813247 |
|---|---|
| Provider Name | Mrs. Ellen Pan |
| First Address | Brooklyn, NY 11214 |
| Second Address | Brooklyn, NY 11214 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 09/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05589708-9 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.