Individual provider · Type 1 NPI

Jennifer Joy Fagan, COTA

Specialist · Newburgh, NY

NPI number 1144363151 Active

Practice location

1607 Route 300 Ste 102
Newburgh, NY 12550-1738

Call (845) 564-9853 Map

Fax (845) 564-6974

Mailing address

17 Winchester Way
Washingtonville, NY 10992-1741

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X006651 (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 1144363151

Jennifer Joy Fagan, COTA's National Provider Identifier is 1144363151, issued on Feb 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newburgh, NY. The record was last updated on Jul 8, 2007.