Individual
COLLEEN M. FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5814
(718) 579-3929
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5814
(718) 579-2939
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
163795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188825
—
NY
Enumeration date
07/31/2006
Last updated
03/03/2015
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