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Mr. Joseph Kenneth Fairley III, CP
Prosthetic/Orthotic Supplier in Saratoga Springs, New York
NPI 1689389785

Joseph Kenneth Fairley III is a Prosthetic/Orthotic Supplier based in Saratoga Springs, NY. Joseph Kenneth Fairley III practices in Saratoga Springs, NY and has the professional credentials of CP. The NPI Number for Joseph Kenneth Fairley III is 1689389785 and holds a License No. CP004468 (New York).

The current practice location address for Joseph Kenneth Fairley III is 480 Broadway Ste Ll14, Saratoga Springs, NY and can be reached out via phone at 518-430-2034.

Location: 480 Broadway Ste Ll14, Saratoga Springs, NY, 12866-6727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689389785
Provider Name
Joseph Kenneth Fairley III
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
480 Broadway Ste Ll14, Saratoga Springs, NY, 12866-6727
Phone Number
518-430-2034
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 Broadway Ste Ll14
City
Saratoga Springs
State
New York
Zip
12866-6727
Phone Number
518-430-2034
Fax Number
person
Provider Business Mailing Address Details
Address
480 Broadway Ste Ll14
City
Saratoga Springs
State
New York
Zip
12866-6727
Phone Number
518-430-2034
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CP004468 ()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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