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1942417902
FANG TIAN
FLUSHING, NY
NPI
1942417902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 254139)
Enumeration Date
2007-05-17
Last Update Date
2012-10-09
Business Address
-- FANG TIAN MD
4161 KISSENA BLVD SUITE E
FLUSHING, NY 11355-3105
Phone number: 347-438-1534
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Mailing Address
-- FANG TIAN MD
342 KNEELAND AVE
YONKERS, NY 10704-2713
Phone number: 347-438-1534
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