RONALD C FAGAN MD PC

LITTLE NECK, NY
NPI1134280142
Entity TypeOrganization
Authorized ContactPHYLLIS NICOSIA
Office Manager
631-752-7000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  227578)
Enumeration Date2006-12-13
Last Update Date2008-01-11
Business Address
RONALD C FAGAN MD PC
254-41 HORACE HARDING EXPWY
LITTLE NECK, NY 11362
Phone number: 718-224-4100
Mailing Address
RONALD C FAGAN MD PC
1111 BROADHOLLOW RD
FARMINGDALE, NY 11735-4820
Phone number: 631-752-7000
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