| Ronald C Fagan Md Pc | |
|
254-41 Horace Harding Expwy Little Neck NY 11362 | |
| (718) 224-4100 | |
| (718) 224-4527 |
| Full Name | Ronald C Fagan Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 254-41 Horace Harding Expwy, Little Neck, New York |
| Authorized Official Name and Position | Phyllis Nicosia (OFFICE MANAGER) |
| Authorized Official Contact | 6317527000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C Fagan Md Pc 1111 Broadhollow Rd Farmingdale NY 11735-4820 Ph: (631) 752-7000 | Ronald C Fagan Md Pc 254-41 Horace Harding Expwy Little Neck NY 11362 Ph: (718) 224-4100 |
| NPI Number | 1134280142 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134280142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227578 (New York) | Primary |
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