Phair, John

Phair, John is an individual health care provider with primary practice located at 25-20 30Th Avenue 5Th Floor, Long Island City NY 11102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Phair, John can be contacted via phone (718) 808-7777.

Contact Information

Primary practice address
25-20 30Th Avenue 5Th Floor Long Island City NY 11102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 298106 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 69564 Connecticut

Profile Details

NPI number 1033539705
LBN Legal business name Phair, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Oct 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033539705 NPPES
New York MEDICAID 8168138

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