Organization
FARMINGDALE ENDOSCOPY PLLC
Active
Organization
FARMINGDALE ENDOSCOPY PLLC
Active
Other names
Liittle Neck Endoscopy Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD C FAGAN MD (PRESIDENT)
(516) 650-1800
Entity
Organization
Contact information
Practice address
245-02 HORACE HARDING EXP., LITTLE NECK, NY 11362
(718) 224-4100
(718) 224-4527
Mailing address
1943 VINCENT LN, SYOSSET, NY 11791-9629
(516) 650-1800
(516) 364-9796
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
178331
NY
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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