JENNIFER JOY FAGAN

NEWBURGH, NY
NPI1144363151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  006651)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Mrs. JENNIFER JOY FAGAN COTA
1607 ROUTE 300 STE 102
NEWBURGH, NY 12550-1738
Phone number: 845-564-9853
Mailing Address
Mrs. JENNIFER JOY FAGAN COTA
17 WINCHESTER WAY
WASHINGTONVILLE, NY 10992-1741
Phone number: 845-496-1459