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Search › New York › 225100000X

Ki Sum Fan

NPI 1467266122 · on the registry since 2025

Practice

Address
15253 10th Ave
Whitestone, NY 11357
Phone
(718) 587-0850
Organisation at this address
Transmedi, Llc
The Re-Creation Boutique Inc.
Dunamis Psychotherapy & Wellness, Lcsw, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-04

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