# FARMINGDALE ENDOSCOPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmingdale Cardiovascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962782300
- **Authorized official:** DR. RONALD CURTIS FAGAN M.D. (PRESIDENT)
- **Authorized official phone:** (516) 650-1800

## Contact information

- **Practice address:** 1111 RTE 110, SUITE 205, EAST FARMINGDALE, NY 11735
- **Practice address phone:** (631) 752-7000
- **Practice address fax:** (516) 364-9796
- **Mailing address:** 1943 VINCENT LN, SYOSSET, NY 11791-9629
- **Mailing address phone:** (516) 650-1800
- **Mailing address fax:** (516) 364-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | NYS 178331 | NY | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 08/17/2011