Individual
DAVID E FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 626-5316
Mailing address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 626-5316
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010053801
UNIVERA
NY
01
—
000510422004
BLUE CROSS OF WNY
NY
05
—
01089032
—
NY
01
—
040426003302
FIDELIS
NY
01
—
153007BT
PREFERRED CARE
NY
01
—
2309527
INDEPENDENT HEALTH
NY
01
—
2400256
GHI
NY
01
—
4614608
AETNA
NY
Enumeration date
12/22/2005
Last updated
10/02/2007
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