Organization
FREDERIC J. VAGNINI, MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC J VAGNINI MD (PRESIDENT)
(516) 222-2288
Entity
Organization
Contact information
Practice address
1991 MARCUS AVE, SUITE M107, NEW HYDE PARK, NY 11042-2057
(516) 222-2288
(516) 745-0976
Mailing address
1991 MARCUS AVE, SUITE M107, NEW HYDE PARK, NY 11042-2057
(516) 222-2288
(516) 745-0976
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
091891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091891
NYS MEDICAL LIC #
NY
Enumeration date
05/28/2006
Last updated
04/23/2009
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