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

Miss. Vivian W Fan

Individual provider Pharmacist · NPI 1720262835

Miss. Vivian W Fan is a Pharmacist in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

5508 Metropolitan Ave
Ridgewood, NY 11385-1221
Phone: (718) 418-3841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 039255 (NY)

Record details

NPI number1720262835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2007
Last updated in NPPESDecember 26, 2007

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