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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE FAGONI, NP-C

Active

Family Nurse Practitioner · STATEN ISLAND, NY

Registration Details

NPI Number
1801276118
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2015 (10.897405760172 yrs)
Last Updated
Jan 30, 2016
Licenses
26NJ00567900 (NJ)
33339339 (NY)

Practice Information

Address
1361 HYLAN BLVD
STATEN ISLAND, NY, 103051902
Browse NY providers · Browse ZIP 10305
Phone
8887711874
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in STATEN ISLAND, NY

Name Credential NPI
MRS. KATHLEEN OBERFELDT FNP 1457334625
MRS. SONJA KERLEN BELLINO NP 1407822026
MS. MAUREEN HOWARD APRN,BC 1356319370
MS. MARY PAT ROGGENBURG FNP 1962470450
MS. NANCY P KINZLER APRN,BC 1376511725
MS. CYNTHIA Y PRICE APRN,BC 1093783219
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.