Kevin Mark Fahey
Endodontist
600 East Genesee St
Syracuse
, New York 13202
Kevin Mark Fahey
Endodontist
600 East Genesee St
Syracuse
, New York 13202
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Kevin Mark Fahey
- 600 East Genesee St
- Syracuse, NY
- Zip : 13202
- Phone :
Second Address
- Kevin Mark Fahey
- 600 East Genesee St
- Syracuse, NY
- Zip : 13202
- Fax : (315) 476-7408
- Phone : (315) 476-7406
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223E0200X | Endodontist | DN15647 | FL |
| Y | 1223E0200X | Endodontist | NY050049 | NY |
National Provider Identifier
| NPI | 1124210919 |
|---|---|
| Provider Name | Kevin Mark Fahey |
| First Address | Syracuse, NY 13202 |
| Second Address | Syracuse, NY 13202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2007 |
| Last Update Date | 15/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.