Individual
MR. JOSEPH KENNETH FAIRLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
480 BROADWAY STE LL14, SARATOGA SPRINGS, NY 12866-6727
(518) 430-2034
Mailing address
480 BROADWAY STE LL14, SARATOGA SPRINGS, NY 12866-6727
(518) 430-2034
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP004468
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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