Fairey, George G
Fairey, George G is an sole proprietor health care provider with primary practice located at 1227 Main St Ste 202 , Port Jefferson NY 11777-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fairey, George G can be contacted via phone (631) 689-5155.Contact Information
Primary practice address
1227 Main St Ste 202
Port Jefferson NY 11777-2227
Phone: (631) 689-5155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 129972 | New York |
Profile Details
| NPI number | 1780857276 |
|---|---|
| LBN Legal business name | Fairey, George G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2008 |
| Last updated | Sep 10th, 2008 - about 16 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 | 1780857276 | NPPES |
| New York | MEDICAID | 00509146 |
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