Search › New York › 363LF0000X
Jacqueline Fagoni, NP-C
NPI 1801276118 · on the registry since 2015
Practice
- Address
- 1361 Hylan Blvd
Staten Island, NY 10305 - Phone
- (888) 771-1874
- Organisation at this address
- Cvs Albany, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-30
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