Fahey, Diane
Fahey, Diane is an sole proprietor health care provider with primary practice located at 11 Carlyle Dr , Glen Cove NY 11542-1474. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fahey, Diane can be contacted via phone (516) 671-6286.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 045123 | New York |
Profile Details
| NPI number | 1932380342 |
|---|---|
| LBN Legal business name | Fahey, Diane |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 14th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932380342 | NPPES |
| New York | MEDICAID | 01552267 |
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