Ronald C Fagan MD PC
NPI #1134280142 in Little Neck, New York
Provider Information
- NPI Number
- 1134280142
- Entity Type
- Organization
- Organization Name
- Ronald C Fagan MD PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 254-41 HORACE HARDING EXPWY
- City
- Little Neck
- State
- New York
- ZIP Code
- 11362
- Phone
- (718) 224-4100
Authorized Official
- Name
- MRS. PHYLLIS NICOSIA
- Title
- OFFICE MANAGER
- Phone
- (631) 752-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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