| Doctor Name: | MR. STEPHEN C FAY |
| NPI Number: | 1023099728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | PR026150-1 |
| Business Practice Address: | 24 Davis Ave Poughkeepsie, NY - 126032408 |
| Business Phone Number: | 8454734675 |
| Business Fax Number: | |
| Mailing Address: | 69 Fraleigh St, RED HOOK |
| State: | NY |
| Postal Code: | 125711524 |
| Phone Number: | 8457581107 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PR026150-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |