Individual
GEORGE ANTHONY FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC-MENTAL H
Contact information
Practice address
355 GRAND STREET, JERSEY CITY, NJ 07302
(201) 915-2356
Mailing address
355 GRAND STREET, JERSEY CITY, NJ 07302
(201) 915-2356
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00681700
NJ
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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