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Mrs. Nina Michelle Fagan
Specialist in Manorville, New York
NPI 1124389036

Nina Michelle Fagan is a Specialist based in Manorville, NY. Nina Michelle Fagan practices in Manorville, NY. The NPI Number for Nina Michelle Fagan is 1124389036 and holds a License No. 1766626 (New York).

The current practice location address for Nina Michelle Fagan is 42 Oceanview Blvd, Manorville, NY and can be reached out via phone at 516-356-3716.

Location: 42 Oceanview Blvd, Manorville, NY, 11949-2956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124389036
Provider Name
Nina Michelle Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Oceanview Blvd, Manorville, NY, 11949-2956
Phone Number
516-356-3716
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 Oceanview Blvd
City
Manorville
State
New York
Zip
11949-2956
Phone Number
516-356-3716
Fax Number
person
Provider Business Mailing Address Details
Address
42 Oceanview Blvd
City
Manorville
State
New York
Zip
11949-2956
Phone Number
516-356-3716
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1766626 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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