Individual
DR. C GAVRIEL FAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
420 CENTRAL AVE, CEDARHURST, NY 11516-1000
(917) 257-8626
Mailing address
125 PINE ST, WOODMERE, NY 11598-2627
(917) 257-8626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078842-1
NY
Other
Enumeration date
03/22/2006
Last updated
12/22/2023
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