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Individual

JOHN PHAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25-20 30TH AVENUE, 5TH FLOOR, LONG ISLAND CITY, NY 11102
(718) 808-7777
Mailing address
1212 5TH AVE UNIT 2, NEW YORK, NY 10029-5210
(212) 241-7120
(718) 881-5074

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
298106
NY
2086S0129X
Vascular Surgery Physician
Primary
69564
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8168138
NY
Enumeration date
04/22/2014
Last updated
10/19/2021
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