Fahy, Allison Gina

Fahy, Allison Gina is an individual health care provider with primary practice located at 750 East Adams St , Syracuse NY 13210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Fahy, Allison Gina can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 East Adams St Syracuse NY 13210
Phone: (315) 464-5450
Fax: (315) 464-6322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.057267 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57248 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 278765 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 143137 Florida

Profile Details

NPI number 1609192111
LBN Legal business name Fahy, Allison Gina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Dec 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609192111 NPPES
Wisconsin MEDICAID 1609192111

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