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Organization
RONALD C FAGAN MD, PC
Active
Organization
RONALD C FAGAN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C FAGAN M.D. (OWNER /PRESIDENT)
(718) 224-4100
Entity
Organization
Contact information
Practice address
4900 HEMPSTEAD TPKE, FARMINGDALE, NY 11735
(516) 752-7000
(516) 586-8644
Mailing address
4900 HEMPSTEAD TPKE, FARMINGDALE, NY 11735
(516) 752-7000
(516) 586-8644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
178331
NY
Other
Enumeration date
03/01/2007
Last updated
09/02/2015
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