Individual
DR. DAVID FAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 BRONXDALE AVE, STE 203, BRONX, NY 10462-3365
(718) 597-0700
(718) 597-9500
Mailing address
180 W OLIVE ST, LONG BEACH, NY 11561-3314
(516) 705-5170
(718) 597-9500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210189
NY
Other
Enumeration date
05/28/2005
Last updated
07/08/2007
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