Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1992027403 |
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| LBN Legal business name | FARMINGDALE ENDOSCOPY PLLC | ||||
| Authorized official | RONALD FAGAN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/25/2010 | ||||
| Last updated | 02/25/2010 - About 16 years ago | ||||
| Identifiers |
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