National Provider Identifier

Joseph D Fagan

Joseph D Fagan is listed in the NPPES registry with a primary specialty of Social Worker in Tonawanda, NY and a listed phone number of (716) 833-3792.

NPI 1770201238Tonawanda, NYSocial Worker

Profile Overview

NPI
1770201238
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
August 19, 2022
Last Updated
September 23, 2025

Practice Location

  • 1370 Niagara Falls Blvd
  • Tonawanda, NY 14150-8431

Phone: (716) 833-3792

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1770201238
Entity Type
Individual
Last Name
Fagan
First Name
Joseph
Middle Name
D
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
1370 Niagara Falls Blvd
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8431
Practice Country
US
Practice Phone
(716) 833-3792
Enumeration Date
August 19, 2022
Last Updated
September 23, 2025
Sex
Male
Sole Proprietor
No
Certification Date
September 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)