Individual
MR. ALEX FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
Mailing address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
531051
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
531051
OH
Other
Enumeration date
01/12/2024
Last updated
08/06/2024
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