Fagan, Ronald C.
Fagan, Ronald C. is an sole proprietor health care provider with primary practice located at 4900 Hempstead Tpke , Farmingdale NY 11735-2028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fagan, Ronald C. can be contacted via phone (516) 752-7000.Contact Information
Primary practice address
4900 Hempstead Tpke
Farmingdale NY 11735-2028
Phone: (516) 752-7000
Fax: (516) 586-8644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 178331 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 178331 | New York |
Profile Details
| NPI number | 1972524486 |
|---|---|
| LBN Legal business name | Fagan, Ronald C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | May 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972524486 | NPPES |
| New York | MEDICAID | 01291969 | |
| New York | MEDICAID | 03367237 |
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