| Dr Mark Fagelman, MD | |
|
11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559 | |
| (845) 354-5800 | |
| (845) 354-5966 |
| Full Name | Dr Mark Fagelman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 11 Medical Park Dr, Pomona, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497798896 | NPI | - | NPPES |
| 00178047 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 102803 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Fagelman, MD 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559 Ph: (845) 354-5800 | Dr Mark Fagelman, MD 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559 Ph: (845) 354-5800 |
Leonard J Rudin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Park Dr, Pomona, NY 10970 Phone: 845-354-5000 Fax: 845-354-9469 | |
Dr. Elliot Fagelman, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 11 Medical Park Dr, Suite 101, Pomona, NY 10970 Phone: 845-354-5800 Fax: 845-354-5966 |