Search › New York › 164W00000X
Jorge Pagan, LPN
NPI 1659926731 · on the registry since 2019 · sole proprietor
Practice
- Address
- 203 Gramatan Ave Ste A
Mount Vernon, NY 10550 - Phone
- (914) 202-4830
- Fax
- (914) 202-4834
- Organisation at this address
- Providence Medical Services Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-18
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