Individual
PASHA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1147 DEER PARK AVE, NORTH BABYLON, NY 11703-3103
(631) 402-4680
Mailing address
239 ORCHARD ST APT 3F, WESTBURY, NY 11590-3174
(516) 642-8748
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
032376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032276
—
NY
05
—
ALA72827W01
—
NY
Enumeration date
01/11/2022
Last updated
01/11/2022
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