# ANDREW FAGELMAN, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437570744
- **Authorized official:** MR. ANDREW FAGELMAN MD (DIRECTOR)
- **Authorized official phone:** (917) 513-7250

## Contact information

- **Practice address:** 155 SPRING ST, 4TH FLOOR, NEW YORK, NY 10012-5208
- **Practice address phone:** (212) 343-0080
- **Practice address fax:** (212) 343-8549
- **Mailing address:** 21 S END AVE APT 440, NEW YORK, NY 10280-0019
- **Mailing address phone:** (917) 513-7250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 220049 | NY | Yes |

## Other

- **Enumeration date:** 01/04/2014
- **Last updated:** 12/11/2023