Individual provider · Type 1 NPI

Nina Michelle Fagan

Specialist · Manorville, NY

NPI number 1124389036 Active

Practice location

42 Oceanview Blvd
Manorville, NY 11949-2956

Call (516) 356-3716 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1766626 (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 1124389036

Nina Michelle Fagan's National Provider Identifier is 1124389036, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manorville, NY. The record was last updated on Jun 6, 2012.