Individual
JOHN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE APT 107, JOHNSON CITY, NY 13790-2071
(607) 763-6735
(607) 763-6736
Mailing address
33 LEWIS RD STE 2, BINGHAMTON, NY 13905-1040
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
663106
NY
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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