Individual
BERNARD HAROLD FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1985 CROMPOND ROAD, BLDG D, CORTLAND MANOR, NY 10567
(914) 739-1219
(914) 739-2353
Mailing address
2649 STRANG BLVD STE 304, BLDG D, YORKTOWN HEIGHTS, NY 10598-2938
(914) 739-0087
(914) 737-1714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
101734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362309
—
NY
01
—
76657
AENTA-HMO
—
01
—
SS011
OXFORD
—
Enumeration date
08/22/2006
Last updated
11/18/2016
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