Individual provider · Type 1 NPI

Elizabeth Fagin, MD

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1902548720 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (914) 493-7000 Map

Mailing address

190 Vandelinda Ave
Teaneck, NJ 07666-4232

Other practice locations

  • 475 Seaview Ave, Staten Island, NY 10305-3436 · (718) 226-9000
  • 190 Vandelinda Ave, Teaneck, NJ 07666-4232 · (551) 486-6279

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902548720

Elizabeth Fagin, MD's National Provider Identifier is 1902548720, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Apr 9, 2025.