KELLY FAGAN

BROOKLYN, NY
NPI1285192393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023393)
Enumeration Date2019-03-07
Last Update Date2023-09-13
Business Address
KELLY FAGAN PA
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-5942
Mailing Address
KELLY FAGAN PA
141 SAINT MARKS PL APT 2
BROOKLYN, NY 11217-2014
Phone number: 321-480-2332
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