Angela Fagen
Specialist in Staten Island, New York
1104188945- Practice location
- 31 Marc St, Staten Island, NY 10314-7442
- Phone
- 631-807-2821
- Fax
- —
- Last updated
- June 7, 2012
Angela Fagen is a Specialist based in Staten Island, NY. Angela Fagen practices in Staten Island, NY. The NPI Number for Angela Fagen is 1104188945 and holds a License No. 265776021 (NY). The current practice location address for Angela Fagen is 31 Marc St, Staten Island, NY 10314-7442 and can be reached out via phone at 631-807-2821.
Provider Profile Details
- NPI Number
- 1104188945
- Provider Name
- Angela Fagen
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Marc St, Staten Island, NY 10314-7442
- Phone Number
- 631-807-2821
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 7, 2012
- Last Update Date
- June 7, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Marc St
Staten Island, NY 10314-7442 - City
- Staten Island
- State
- New York
- Zip
- 10314-7442
- Phone Number
- 631-807-2821
Provider Business Mailing Address Details
- Address
- 31 Marc St
Staten Island, NY 10314-7442 - City
- Staten Island
- State
- NY
- Zip
- 10314-7442
- Phone Number
- 631-807-2821
License Information
- License Number
- 265776021
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Angela Fagen?
The NPI number of Angela Fagen is 1104188945. It was assigned on June 7, 2012 and is currently active in the NPPES registry.
What is the specialty of Angela Fagen?
Angela Fagen is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 265776021.
Where does Angela Fagen practice?
The practice location is 31 Marc St, Staten Island, NY 10314-7442. The office can be reached at 631-807-2821 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104188945 directly on the NPPES registry website.