Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NINA MICHELLE FAGAN
Active Sole ProprietorMRS. NINA MICHELLE FAGAN is a Specialist healthcare provider located in MANORVILLE, New York. NPI 1124389036 is currently active in the NPPES registry. Verify at CMS.
Specialist · MANORVILLE, NY
Registration Details
- NPI Number
- 1124389036
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2012 (14.164574751331 yrs)
- Last Updated
- Jun 6, 2012
- License
-
1766626 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42 OCEANVIEW BLVDMANORVILLE, NY, 119492956Browse NY providers · Browse ZIP 11949
- Phone
- 5163563716
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MANORVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| NANCY LANG BENITEZ | M.S.,ED | 1679618680 |
| MRS. RHONDA BETH SNELL | M.S. ED. | 1881721983 |
| VICTOR BELLO | PA | 1356636468 |
| MRS. TARA LYNN GLENN | — | 1245591072 |
| CHRISTINE E RACCA | MS ED, S.D.A. | 1205198801 |
| MRS. EDWILDA HENRY-PETIT | M.S.E.D | 1902169576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.