Organization
STAT MEDICAL USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD FAGAN M.D. (MEMBER)
(516) 650-1800
Entity
Organization
Contact information
Practice address
1943 VINCENT LN, SYOSSET, NY 11791-9629
(516) 650-1800
Mailing address
1111 BROADHOLLOW RD, FARMINGDALE, NY 11735-4820
(516) 650-1800
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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