Phair, John
Phair, John is an individual health care provider with primary practice located at 25-20 30Th Avenue 5Th Floor, Long Island City NY 11102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Phair, John can be contacted via phone (718) 808-7777.Contact Information
Primary practice address
25-20 30Th Avenue 5Th Floor
Long Island City NY 11102
Phone: (718) 808-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 298106 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 69564 | Connecticut |
Profile Details
| NPI number | 1033539705 |
|---|---|
| LBN Legal business name | Phair, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Oct 19th, 2021 - about 5 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 | 1033539705 | NPPES |
| New York | MEDICAID | 8168138 |
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