DR. Jerome Edward Bagner, DPM

NPI #1609854249 in Rockville Centre, New York

Provider Information

NPI Number: 1609854249
Entity Type: Individual
Name: DR. Jerome Edward Bagner, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jan 4, 2006
Last Updated: Oct 16, 2013

Practice Location

Address: 30 HEMPSTEAD AVE
Address 2: STE 158
City: Rockville Centre
State: New York
ZIP Code: 11570-4033
Phone: (516) 764-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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