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Petel Fagan
NPI 1275836777 · on the registry since 2010 · sole proprietor
Practice
- Address
- 54 Jennifer Cir
Rochester, NY 14606 - Phone
- (585) 754-3391
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York