| George G. Fairey Md | |
|
1212 N Country Rd Ste 2a Stony Brook NY 11790-1919 | |
| (631) 689-5155 | |
| Not Available |
| Full Name | George G. Fairey Md |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1212 N Country Rd Ste 2a, Stony Brook, New York |
| Authorized Official Name and Position | George G. Fairey (OWNER) |
| Authorized Official Contact | 6316895155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George G. Fairey Md 1212 N Country Rd Ste 2a Stony Brook NY 11790-1919 Ph: (631) 689-5155 | George G. Fairey Md 1212 N Country Rd Ste 2a Stony Brook NY 11790-1919 Ph: (631) 689-5155 |
| NPI Number | 1073603734 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073603734 | NPI | - | NPPES |
| 00509146 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 129972 (New York) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 129972 (New York) | Primary |
John G. Cottone, Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 | |
Department Of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 | |
Michael L Nissnbaum, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 | |
Corina Segal Mental Health Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 | |
Ryan L Clements Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 N Country Rd, Unit L, Stony Brook, NY 11790 Phone: 631-941-2210 | |
Brett M. Liquori, Licensed Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Westwood Ave, Stony Brook, NY 11790 Phone: 631-444-5354 Fax: 631-444-5354 |