Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fan Medicine Consultant, PLLC

Organization Anesthesiology Physician · NPI 1780156711

Fan Medicine Consultant, PLLC is an Anesthesiology Physician in Staten Island, New York. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 S Ave Ste 301
Staten Island, NY 10314-3420
Phone: (718) 986-5394
Fax: (718) 785-9564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35 Laurie Ct, Staten Island, NY 10304-2900 — (718) 986-5394

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1780156711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Fiorenza — Credentialist · (718) 986-5394
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 2, 2019
Mailing address35 Laurie Ct, Staten Island, NY 10304-2900

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