MEDICARE: MS. BARBARA ANN FAGAN MS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1588806723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA ANN FAGAN MS

Provider Business Mailing Address
First Line	:	845 CENTRAL AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-1514
Country	:	US
Telephone Number	:	518-458-8888
Fax Number	:	518-482-2458

Provider Business Practice Location Address
First Line	:	845 CENTRAL AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-1514
Country	:	US
Telephone Number	:	518-458-8888
Fax Number	:	518-482-2458

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

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	04/02/2009

Similar Medicare Providers

1720561319 — VICTORIA DODGE
Practice Location Address:

845 CENTRAL AVE
ALBANY, NY
12206-1514

Practice Phone: 518-729-3953
Practice Fax:

1265511216 — MS. JENNIFER GAIL COHEN LMSW
Practice Location Address:

845 CENTRAL AVE , SOUTH 3
ALBANY, NY
12206-1514

Practice Phone: 518-482-2455
Practice Fax: 518-482-2458

1093903130 — SPARC
Practice Location Address:

845 CENTRAL AVE
ALBANY, NY
12206-1514

Practice Phone: 518-482-2455
Practice Fax:

1972786945 — JENNIFER BATES
Practice Location Address:

845 CENTRAL AVE
ALBANY, NY
12206-1514

Practice Phone: 518-482-2455
Practice Fax:

1427231273 — MRS. DEBRA JO VENEABLE LMSW
Practice Location Address:

845 CENTRAL AVE # 2
ALBANY, NY
12206-1514

Practice Phone: 518-458-8888
Practice Fax: 518-482-2458

1780825828 — MRS. STEPHANIE NICOSIA PUCHNER B.S.
Practice Location Address:

845 CENTRAL AVE # 2
ALBANY, NY
12206-1514

Practice Phone: 518-369-8705
Practice Fax:

Directions to “ MS. BARBARA ANN FAGAN MS” 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.