Jevon Fragoso, MD Valid NPI
Individual provider · Rheumatology Physician · Manhasset, NY
- NPI
- 1700345634
- Type
- Individual (Type 1)
- Primary specialty
- Rheumatology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RR0500X
- License number
- 317497 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-03-19
- Last updated
- 2024-04-02
Practice location
300 Community Dr
Manhasset, NY 11030-3816
(516) 562-0100