213 W SHORE DR, MASSAPEQUA, 11758, NEW YORK
| Entity Name | RONALD C. FAGAN, M.D., P.C. |
| Entity Number | 1782590 |
| Status | ACTIVE |
| Incorporation Date | 27th December 1993 |
| Dos Process Address | 1111 RTE 110, EAST FARMINGDALE, 11735, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |