Theresa Fan, D.D.S

NPI 1306921820 · on the registry since 2006

Practice

Address: 400 Community Dr
Manhasset, NY 11030
Phone: (516) 562-4525
Organisation at this address: Nslij Dental Medicine
Black Hall Dental, P.C.
North Shore University Hospital
North Shore- Long Island Jewish Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 90

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York