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Individual
DR. JUDITH HUNTER FAGER
Active
Individual
DR. JUDITH HUNTER FAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F3000731
NY
363LF0000X
Family Nurse Practitioner
F3313801
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401699
NY
Other
Enumeration date
11/19/2010
Last updated
11/14/2020
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