Organization · Type 2 NPI
Jerome E. Bagner, Dpm, P.c.
Foot Surgery Podiatrist · Rockville Centre, NY
NPI number
1003160292
Active
Practice location
30 Hempstead Ave, Suite 158
Rockville Centre, NY 11570-4033
Fax (516) 764-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N002233-1 (NY) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1003160292
Jerome E. Bagner, Dpm, P.c.'s National Provider Identifier is 1003160292, issued on Nov 9, 2012. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Rockville Centre, NY. The record was last updated on Nov 9, 2012.