National Provider Identifier

Jacqueline Fahy

Jacqueline Fahy is listed in the NPPES registry with a primary specialty of Registered Nurse in Olean, NY and a listed phone number of (716) 373-8040.

NPI 1174085161Olean, NYRegistered Nurse

Profile Overview

NPI
1174085161
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 01, 2019
Last Updated
April 01, 2019

Practice Location

  • 1 Leo Moss Dr Ste 4308
  • Olean, NY 14760-1100

Phone: (716) 373-8040

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1174085161
Entity Type
Individual
Last Name
Fahy
First Name
Jacqueline
Mailing Street Address
1 Leo Moss Dr Ste 4308
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1100
Mailing Country
US
Mailing Phone
(716) 373-8040
Mailing Fax
(716) 701-3729
Practice Street Address
1 Leo Moss Dr Ste 4308
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1100
Practice Country
US
Practice Phone
(716) 373-8040
Practice Fax
(716) 701-3729
Enumeration Date
April 01, 2019
Last Updated
April 01, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
00635098 (NY)