Individual
HARRY E. FAIVUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 E 86TH ST, NEW YORK, NY 10028-3121
(212) 722-6951
Mailing address
308 E 86TH ST, APT 9SW, NEW YORK, NY 10028-3121
(212) 722-6951
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
123797
NY
Other
Enumeration date
05/18/2006
Last updated
01/29/2008
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