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Contact Information

RONALD C FAGAN MD PC
254-41 HORACE HARDING EXPWY
LITTLE NECK, NY11362
 Phone: 718-224-4100
 Fax: 718-224-4527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RONALD C FAGAN MD PC

NPI # 1134280142
LBN Legal business name RONALD C FAGAN MD PC
Authorized official PHYLLIS NICOSIA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 01/11/2008 - About 18 years ago
Identifiers
NY License # 227578
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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