Michele J Fagan
MD | Pediatric Emergency Medicine | Female
Michele J Fagan, MD is a Bronx, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Michele J Fagan is
Mmc - Peds. Emergency Medicine, 111 East 210th Street, Bronx, New York - 10467. She can be contacted on phone at
718-920-5312.
Michele J Fagan is a sole proprietor of her business.
NPI number (Unique professional ID) for Michele J Fagan is
1255417523 which was assigned by NPPES on 30 Oct, 2006 and it was last updated on 08 Jul, 2007.
Michele J Fagan license number is
212908 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Michele J Fagan has special qualifications to manage emergencies in infants and children.
Complete Profile:
Michele J Fagan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Michele J Fagan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Michele J Fagan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Mmc - Peds. Emergency Medicine, 111 East 210th Street
Bronx, NY, 10467
United States |
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| Phone Number : | 718-920-5312 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1255417523 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michele J Fagan are as mentioned. Primary taxonomy code for Michele J Fagan, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 212908 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 165 Bennett Ave, Apt. 4g
New York, NY, 10040-4013
United States |
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| Phone Number : | 718-920-5312 |
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| Fax Number : | 718-798-6485 |
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Business Location:
Patients can refer following map for directions to
Michele J Fagan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.