Fahey, Julia
Fahey, Julia is an sole proprietor health care provider with primary practice located at 105 W Main St , Patchogue NY 11772-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fahey, Julia can be contacted via phone (631) 687-2969.Contact Information
Primary practice address
105 W Main St
Patchogue NY 11772-3003
Phone: (631) 687-2969
Fax: (631) 687-2970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 169349 | New York |
Profile Details
| NPI number | 1730253378 |
|---|---|
| LBN Legal business name | Fahey, Julia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Nov 9th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730253378 | NPPES |
| New York | MEDICAID | 01397617 |
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