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

Jennifer Jane Fagan

Individual provider Specialist · NPI 1174179121

Jennifer Jane Fagan is a Specialist in West Sayville, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

6 Fremont Rd
West Sayville, NY 11796-1009
Phone: (631) 678-1355
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1174179121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

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