Fagan, Jennifer Joy

Fagan, Jennifer Joy is an sole proprietor health care provider with primary practice located at 1607 Route 300 Ste 102 , Newburgh NY 12550-1738. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fagan, Jennifer Joy can be contacted via phone (845) 564-9853.

Contact Information

Primary practice address
1607 Route 300 Ste 102 Newburgh NY 12550-1738
Phone: (845) 564-9853
Fax: (845) 564-6974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 006651 New York

Profile Details

NPI number 1144363151
LBN Legal business name Fagan, Jennifer Joy
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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