GEORGE G FAIREY (NPI# 1780857276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780857276 |
| Entity Type | Individual |
| Full Name | GEORGE G FAIREY |
| Credential | MD |
| Practice Address |
1227 Main St Ste 202 Port Jefferson NY 11777-2227 |
| Practice Telephone | 6316895155 |
| Mailing Telephone | 6316895155 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
129972 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00509146 | 05 |
| Street Address |
1227 MAIN ST STE 202 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831269307 | John F Vogel | Social Worker | 1227 Main St Ste 202, Port Jefferson, NY 11777-2227 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366514978 | Robert Michael Woznicki | Psychiatry & Neurology | 640 Belle Terre Road, Bldg J 3, Port Jefferson, NY 11777 | 2006-11-15 |
| 1407207830 | Tamir Aldad | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-06-27 |
| 1912226069 | Ateaya A Lima | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777 | 2010-05-27 |
| 1497915995 | Jenna L Taglienti | Psychiatry & Neurology | 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777-2130 | 2008-06-10 |
| 1437316148 | Syed K Hussaini | Psychiatry & Neurology | 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777-2130 | 2008-05-20 |
| 1285813667 | Robert M Woznicki Md PC | Psychiatry & Neurology | 640 Belle Terre Rd, Bldg J3, Port Jefferson, NY 11777-1936 | 2007-11-01 |
| 1154544567 | Sameh Wahba | Psychiatry & Neurology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-11 |
| 1275653032 | Anthony Bolton | Psychiatry & Neurology | 464 Main St, Suite B, Port Jefferson, NY 11777-2814 | 2007-03-29 |
| 1982750469 | Alain Kruh | Psychiatry & Neurology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-01-26 |
| 1962557629 | Jagdish Gidwani | Psychiatry & Neurology | 646 Main St, Port Jefferson, NY 11777-2235 | 2007-01-24 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on GEORGE G FAIREY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.