Fagen, Leonard Jay

Fagen, Leonard Jay is an individual health care provider with primary practice located at 111 Main St , Southampton NY 11968-4810. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Fagen, Leonard Jay can be contacted via phone (631) 283-4250.

Contact Information

Primary practice address
111 Main St Southampton NY 11968-4810
Phone: (631) 283-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26998 New York
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26998 New York

Profile Details

NPI number 1942522776
LBN Legal business name Fagen, Leonard Jay
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2010
Last updated Feb 21st, 2010 - about 14 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.

Request for update

Popular Providers