Individual
THOMAS J FAHEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, SUITE M014, NEW YORK, NY 10021-4870
(212) 746-5130
Mailing address
525 E 68TH ST, SUITE F2024, MAILBOX 249, NEW YORK, NY 10021-4870
(212) 746-5130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172052
NY
Other
Enumeration date
08/01/2006
Last updated
12/09/2011
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