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1780857276
GEORGE G FAIREY
PORT JEFFERSON, NY
NPI
1780857276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 129972)
Enumeration Date
2008-04-07
Last Update Date
2008-09-10
Business Address
-- GEORGE G FAIREY MD
1227 MAIN ST STE 202
PORT JEFFERSON, NY 11777-2227
Phone number: 631-689-5155
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Mailing Address
-- GEORGE G FAIREY MD
1227 MAIN ST STE 202
PORT JEFFERSON, NY 11777-2227
Phone number: 631-689-5155
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