| Dr David Fagan, MD | |
| 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 | |
| (718) 597-0700 | |
| (718) 597-9500 | 
| Full Name | Dr David Fagan | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2016 Bronxdale Ave, Bronx, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245233790 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 210189 (New York) | Primary | 
| Entity Name | Nassau Health Care Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr David Fagan, MD 180 W Olive St, Long Beach, NY 11561-3314 Ph: (516) 705-5170 | Dr David Fagan, MD 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 Ph: (718) 597-0700 | 
| Dr. Madhu Sharma, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Montefiore Medical Center, Bronx, NY 10467 Phone: 718-741-2538 | |
| Dr. Amanda Mcnear Jacobs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Department Of Pediatrics, Bronx, NY 10467 Phone: 718-920-2306 | |
| Colleen Gerrity, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4487 3rd Ave, Bronx, NY 10457 Phone: 718-960-6497 Fax: 718-960-9138 | |
| Dr. Michelle Dominique Pintea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 | |
| Prachie Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-992-7669 | |
| Mr. Rodolfo Comuyog Uy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 Nereid Ave, Bronx, NY 10466 Phone: 718-994-6755 Fax: 718-994-3032 | |
| Dr. Daniela Levanon,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461 Phone: 718-918-3060 Fax: 718-918-4469 |