Individual
DR. BENJAMIN JUSTIN FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1507
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
315946
NY
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
315946
NY
Other
Enumeration date
06/20/2018
Last updated
07/26/2023
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