Individual
MR. ENRIQUE PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
2494 WILLIAMSBRIDGE ROAD, BRONX, NY 10469
(718) 652-1802
(718) 652-1889
Mailing address
2494 WILLIAMSBRIDGE ROAD, BRONX, NY 10469
(718) 652-1802
(718) 652-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005110
NYS LICENSE
NY
Enumeration date
02/01/2007
Last updated
07/08/2007
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