Fagan, Michele J
Fagan, Michele J is an individual health care provider with primary practice located at Mmc - Peds. Emergency Medicine 111 East 210Th Street, Bronx NY 10467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Fagan, Michele J can be contacted via phone (718) 920-5312.Contact Information
Primary practice address
Mmc - Peds. Emergency Medicine 111 East 210Th Street
Bronx NY 10467
Phone: (718) 920-5312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 212908 | New York |
Profile Details
| NPI number | 1255417523 |
|---|---|
| LBN Legal business name | Fagan, Michele J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2006 |
| 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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