James C Fagin
Pediatric Allergist
1 Dakota Drive Suite 312
Lake Success
, New York 11042
James C Fagin
Pediatric Allergist
1 Dakota Drive Suite 312
Lake Success
, New York 11042
(516) 608-2897
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- James C Fagin
- 2800 Marcus Ave
- New Hyde Park, NY
- Zip : 11042-1113
- Fax : (516) 608-2897
- Phone : (516) 622-6000
Second Address
- James C Fagin
- 1 Dakota Drive Suite 312
- Lake Success, NY
- Zip : 11042
- Fax : (516) 608-2897
- Phone : (516) 608-2898
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 136140 | NY |
National Provider Identifier
| NPI | 1447344577 |
|---|---|
| Provider Name | James C Fagin |
| First Address | New Hyde Park, NY 11042-1113 |
| Second Address | Lake Success, NY 11042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 20/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01120598 | (05) | NY |
| B78071 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.