JEROME E BAGNER DPM

Dr JEROME E BAGNER DPM is a male medical professional, specializing in Podiatry. He graduated in 1968 from New York College Of Podiatric Medicine.

Contact

30 HEMPSTEAD AVE
SUITE 158
ROCKVILLE CENTRE
NY
115704034

Tel: 5167646800

JEROME E BAGNER DPM Information

Npi 1609854249
Pac Id 8022059047
Professional Enrollment Id I20050519000359
Last Name BAGNER
First Name JEROME
Middle Name E
Suffix
Gender M
Credential DPM
Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1968
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 30 HEMPSTEAD AVE
Line 2 Street Address SUITE 158
Marker Of Address Line 2 Suppression
City ROCKVILLE CENTRE
State NY
Zip Code 115704034
Phone Number 5167646800
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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