Individual
DR. LEONARD FAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8 WOODLAND WAY, QUOGUE, NY 11959-1571
(631) 653-0077
(631) 653-3388
Mailing address
PO BOX 1571, 8 WOODLAND WAY, QUOGUE, NY 11959-1571
(631) 653-0077
(631) 653-3388
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2044
NY
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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