Individual
DR. ANDREW FAGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 SPRING ST, 4TH FLOOR, NEW YORK, NY 10012-5208
(212) 343-0080
Mailing address
21 S END AVE APT 440, NEW YORK, NY 10280-0019
(212) 343-0080
(212) 343-8549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02524183
—
NY
Enumeration date
02/14/2007
Last updated
12/11/2023
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