Joseph Pagan, 06/21/1977
NPI #1679833297 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1679833297
- Entity Type
- Individual
- Name
- Joseph Pagan, 06/21/1977
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- 06/21/1977
- Enumeration Date
- May 17, 2012
- Last Updated
- May 17, 2012
Practice Location
- Address
- 1010 ROUTE 112
- State
- New York
- ZIP Code
- 11776-3387
- Phone
- (631) 473-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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