Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Fagen

Individual provider Specialist · NPI 1104188945

Angela Fagen is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

31 Marc St
Staten Island, NY 10314-7442
Phone: (631) 807-2821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 265776021 (NY)

Record details

NPI number1104188945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012

Other providers in Staten Island