MRS. NINA MICHELLE FAGAN
NPI 1124389036
Specialist in Manorville, NY

Q: What is Nina Fagan's NPI number?

The NPI number for Nina Fagan is 1124389036. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Nina Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Fagan was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2012

42 OCEANVIEW BLVD, MANORVILLE, NY 11949(516) 356-3716 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Nina Michelle Fagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NINA MICHELLE FAGAN (NPI 1124389036) is an individual specialist in Manorville, New York, licensed in New York (1766626) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1124389036

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. NINA MICHELLE FAGAN

Location Address42 OCEANVIEW BLVDManorville, NY 11949-2956

Mailing Address42 Oceanview BlvdManorville, NY 11949-2956 · (516) 356-3716

Phone(516) 356-3716

Sole ProprietorYes

Enumeration DateJune 6, 2012

✔ NPI 1124389036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 1766626

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

42 OCEANVIEW BLVD, Manorville, NY 11949

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina Fagan's NPI number?

The NPI number for Nina Fagan is 1124389036. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Nina Fagan located?

Nina Fagan practices at 42 Oceanview Blvd, Manorville, NY 11949. The listed phone number is (516) 356-3716.

What is Nina Fagan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nina Fagan was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.