Individual
DR. DONALD FAGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 EAST MAIN ST., NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY, BAY SHORE, NY 11706
(631) 968-3290
(631) 968-7486
Mailing address
301 EAST MAIN ST., NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY, BAY SHORE, NY 11706
(631) 968-3290
(631) 968-7486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
142132
NY
Other
Enumeration date
06/09/2005
Last updated
06/11/2015
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