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1629771720
MARK DAVID FAGALA
STATEN ISLAND, NY
NPI
1629771720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
Dr. MARK DAVID FAGALA MD
242 MASON AVE FL 1
STATEN ISLAND, NY 10305-3408
Phone number: 718-226-8630
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Mailing Address
Dr. MARK DAVID FAGALA MD
242 MASON AVE FL 1
STATEN ISLAND, NY 10305-3408
Phone number: 718-226-8630
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