Most Relevant Information
Provider Data
| NPI Number: | 1003813247 |
| Provider Name: | ELLEN PAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 136911-1 |
Most Important Dates
| Enumeration Date: | 07/01/2005 |
| Last Updated: | 02/09/2011 |
Provider Practice Location
8301 BAY PARKWAY
SUITE 103
BROOKLYN
NY
11214
Practice Location Phone/Fax
| Phone: | 7182367772 |
| Fax: | 7182564178 |
Provider Mailing Location
8301 BAY PARKWAY
SUITE 103
BROOKLYN
NY
11214
Provider Mailing Phone/Fax
| Phone: | 7182367772 |
| Fax: | 7182564178 |