Individual
BRIAN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, EMT
Contact information
Practice address
300 SUMMIT ST STE 1, HARTFORD, CT 06106-3186
(860) 297-4099
Mailing address
300 SUMMIT ST STE 1, HARTFORD, CT 06106-3186
(860) 297-4099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000934
CT
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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