| 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 |