IndividualActive
Elaine Wan, M.D.
NPI 1457543274 · Clinical Cardiac Electrophysiology Physician · New York, NY
Provider details
- NPI number
- 1457543274
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 243198 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
177 Fort Washington Ave
6th Floor, Ctr 12
New York, NY 10032-3733
Phone: (212) 305-2913
Approximate (ZIP-level) locationGet directions
Mailing address
630 West 168 Street
New York, NY 10032
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.