James C Fagin, MD | |
1 Dakota Drive, Suite 312, Lake Success, NY 11042 | |
(516) 608-2898 | |
(516) 608-2897 |
Full Name | James C Fagin |
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Gender | Male |
Speciality | Pediatrics - Pediatric Allergy/immunology |
Location | 1 Dakota Drive, Lake Success, 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 |
---|---|---|---|
1447344577 | NPI | - | NPPES |
01120598 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 136140 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
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James C Fagin, MD 2800 Marcus Ave, New Hyde Park, NY 11042-1113 Ph: (516) 622-6000 | James C Fagin, MD 1 Dakota Drive, Suite 312, Lake Success, NY 11042 Ph: (516) 608-2898 |
Dr. Nili Elana Major, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1983 Marcus Avenue, Suite 130, Lake Success, NY 11042 Phone: 516-802-6100 Fax: 516-802-6131 | |
Vahakn Shant Keskinyan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Dakota Drive, Suite 100, Lake Success, NY 11042 Phone: 516-622-7337 | |
Karen Joan Yan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 Fax: 516-622-7331 | |
Maurice J Chianese, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 Fax: 516-622-7331 | |
Lynn Talin Cetin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-7337 | |
David Meryash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Lij Developmental & Behav. Ped, 1983 Marcus Avenue, Lake Success, NY 11042 Phone: 516-802-6100 |