Carol Fagan

NPI #1083010037 in Seaford, New York

Provider Information

NPI Number: 1083010037
Entity Type: Individual
Name: Carol Fagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 18, 2014
Last Updated: Nov 18, 2014

Practice Location

Address: 750 HICKSVILLE RD
City: Seaford
State: New York
ZIP Code: 11783-1328
Phone: (516) 520-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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