Individual
JESSICA PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2780 MIDDLE COUNTRY RD STE 140, LAKE GROVE, NY 11755-2120
(631) 580-1000
Mailing address
277 LEXINGTON AVE, WEST BABYLON, NY 11704-5310
(347) 207-9886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012513-1
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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