Organization
JUSTIN R FAGAN DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J SHAW (OFFICE MANAGER)
(212) 751-8300
Entity
Organization
Contact information
Practice address
133 E 58TH ST, 15TH FLOOR, NEW YORK, NY 10022-1236
(212) 751-8300
Mailing address
133 E 58TH ST, 15TH FLOOR, NEW YORK, NY 10022-1236
(212) 751-8300
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
X008283-1
NY
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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