Individual
MELISSA J FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 MACDOUGALL ST, AUBURN, NY 13021-4824
(315) 289-8754
Mailing address
34 MACDOUGALL ST, AUBURN, NY 13021-4824
(315) 289-8754
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
706733
NY
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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