| Doctor Name: | DR. JOHN PATRICK FAHY |
| NPI Number: | 1205069259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 030562-1 |
| Business Practice Address: | 612 Corporate Way Suite 7 Valley Cottage, NY - 109892021 |
| Business Phone Number: | 8452687800 |
| Business Fax Number: | 8452685037 |
| Mailing Address: | 612 Corporate Way, Suite 7 VALLEY COTTAGE |
| State: | NY |
| Postal Code: | 109892021 |
| Phone Number: | 8452687800 |
| Fax Number: | 8452685037 |
| NPI Enumeration Date: | 08/25/2009 |
| NPI Last Update Date: | 08/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 030562-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |