Individual provider · Type 1 NPI

Angela Fagen

Specialist · Staten Island, NY

NPI number 1104188945 Active

Practice location

31 Marc St
Staten Island, NY 10314-7442

Call (631) 807-2821 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X265776021 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104188945

Angela Fagen's National Provider Identifier is 1104188945, issued on Jun 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 7, 2012.