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Individual
MR. STEPHEN C FAY
Active
Individual
MR. STEPHEN C FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR026150-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108640
UBH PROVIDER NUMBER
NY
01
—
349572
MVP PROVIDER NUMBER
NY
01
—
7403800
GHI PIN NUMBER
NY
01
—
P2775609
OXFORD PROVIDER NUMBER
NY
Enumeration date
11/09/2005
Last updated
04/11/2019
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