MEDICARE: DR. MARK FAGELMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	102803	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497798896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK FAGELMAN M.D.

Provider Business Mailing Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 101
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-5800
Fax Number	:	845-354-5966

Provider Business Practice Location Address
First Line	:	11 MEDICAL PARK DR
Second Line	:	SUITE 101
City	:	POMONA
State	:	NY
Zip	:	10970-3559
Country	:	US
Telephone Number	:	845-354-5800
Fax Number	:	845-354-5966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457355000 — DR. JEFFREY ROBERT HOROWITZ D.P.M.
Practice Location Address:

11 MEDICAL PARK DR , STE 206
POMONA, NY
10970-3559

Practice Phone: 845-362-0100
Practice Fax: 845-362-0112

1477520765 — ELEAZAR VILORIA INCABO P.T.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 104
POMONA, NY
10970-3559

Practice Phone: 845-354-6700
Practice Fax:

1487615548 — DR. BRIAN MICHAEL QUAIL PSY.D.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 102
POMONA, NY
10970-3559

Practice Phone: 800-402-8019
Practice Fax:

1750332128 — POMONA PAIN MANAGEMENT
Practice Location Address:

11 MEDICAL PARK DR , SUITE 104
POMONA, NY
10970-3559

Practice Phone: 845-354-6700
Practice Fax:

1184668808 — DR. ELLIOT FAGELMAN M.D.
Practice Location Address:

11 MEDICAL PARK DR , SUITE 101
POMONA, NY
10970-3559

Practice Phone: 845-354-5800
Practice Fax: 845-354-5966

1730195157 — MS. LORRAINE SARA SCHORR MSW
Practice Location Address:

11 MEDICAL PARK DR , SUITE 102
POMONA, NY
10970-3559

Practice Phone: 845-354-5040
Practice Fax: 845-354-5040

Directions to “ DR. MARK FAGELMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.