Fagin, James C

Fagin, James C is an sole proprietor health care provider with primary practice located at 1 Dakota Drive Suite 312, Lake Success NY 11042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Fagin, James C can be contacted via phone (516) 608-2898.

Contact Information

Primary practice address
1 Dakota Drive Suite 312 Lake Success NY 11042
Phone: (516) 608-2898
Fax: (516) 608-2897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 136140 New York

Profile Details

NPI number 1447344577
LBN Legal business name Fagin, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Sep 20th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447344577 NPPES
New York MEDICAID 01120598

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