JUSTIN WAN
NPI 1003619248
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2025

100 E 77TH ST, NEW YORK, NY 10075(212) 434-4763 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Justin Wan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN WAN (NPI 1003619248) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1003619248

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameJUSTIN WAN

Location Address100 E 77TH STNew York, NY 10075-1850

Mailing Address100 E 77th StNew York, NY 10075-1850

Phone(212) 434-4763

Sole ProprietorYes

Enumeration DateMarch 31, 2025

Last NPPES UpdateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1003619248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 E 77TH ST, New York, NY 10075

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