Dr David Fagan, MD | |
2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 | |
(718) 597-0700 | |
(718) 597-9500 |
Full Name | Dr David Fagan |
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Gender | Male |
Speciality | Pediatrics |
Location | 2016 Bronxdale Ave, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245233790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 210189 (New York) | Primary |
Entity Name | Nassau Health Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Dr David Fagan, MD 180 W Olive St, Long Beach, NY 11561-3314 Ph: (516) 705-5170 | Dr David Fagan, MD 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 Ph: (718) 597-0700 |
Dr. Madhu Sharma, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Montefiore Medical Center, Bronx, NY 10467 Phone: 718-741-2538 | |
Dr. Amanda Mcnear Jacobs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Department Of Pediatrics, Bronx, NY 10467 Phone: 718-920-2306 | |
Colleen Gerrity, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4487 3rd Ave, Bronx, NY 10457 Phone: 718-960-6497 Fax: 718-960-9138 | |
Dr. Michelle Dominique Pintea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 | |
Mr. Rodolfo Comuyog Uy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 Nereid Ave, Bronx, NY 10466 Phone: 718-994-6755 Fax: 718-994-3032 | |
Dr. Daniela Levanon, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461 Phone: 718-918-3060 Fax: 718-918-4469 | |
Marguerite M Mayers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Mmc - Family Care Center, 3444 Kossuth Avenue, 2nd Fl., Bronx, NY 10467 Phone: 718-920-5271 Fax: 718-652-5707 |