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GEORGE G. FAIREY MD
NPI 1073603734
Counselor - Mental Health in Stony Brook, NY

Active since October 13, 2006
1212 N COUNTRY RD STE 2A, STONY BROOK, NY 11790(631) 689-5155 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About George G. Fairey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE G. FAIREY MD (NPI 1073603734) is a healthcare organization registered as a mental health in Stony Brook, New York and active in the NPI registry since October 2006. The organization lists George G. Fairey, Owner, as its authorized official.

NPPES Registry Identity

NPI1073603734
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGEORGE G. FAIREY MD
Location Address1212 N COUNTRY RD STE 2AStony Brook, NY 11790-1919
Mailing Address1212 N Country Rd Ste 2aStony Brook, NY 11790-1919 · (631) 689-5155
Phone(631) 689-5155
Organization SubpartNo
Authorized OfficialGeorge G. FaireyOwner · (631) 689-5155
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
✔ NPI 1073603734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 129972
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 129972 (NY)
1212 N COUNTRY RD STE 2A, Stony Brook, NY 11790
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Other Identifiers 1

Medicaid00509146NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George G. Fairey MD's NPI number?

The NPI number for George G. Fairey MD is 1073603734. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is George G. Fairey MD located?

George G. Fairey MD is located at 1212 N Country Rd Ste 2A, Stony Brook, NY 11790. The listed phone number is (631) 689-5155.

What is George G. Fairey MD's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for George G. Fairey MD was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.