Individual
MR. MICHAEL W FAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10 CANALVIEW MALL, SUITE C, FULTON, NY 13069-1769
(315) 593-8786
(315) 598-5538
Mailing address
10 CANALVIEW MALL, SUITE C, FULTON, NY 13069-1769
(315) 593-8786
(315) 598-5538
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
068011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267087
—
NY
Enumeration date
02/13/2006
Last updated
07/08/2007
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