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Organization

FARMINGDALE ENDOSCOPY

Active
Other names
Farmingdale Cardiovascular
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD CURTIS FAGAN M.D. (PRESIDENT)
(516) 650-1800
Entity
Organization

Contact information

Practice address
1111 RTE 110, SUITE 205, EAST FARMINGDALE, NY 11735
(631) 752-7000
(516) 364-9796
Mailing address
1943 VINCENT LN, SYOSSET, NY 11791-9629
(516) 650-1800
(516) 364-9796

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
NYS 178331
NY

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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