Healthcare Provider Details

I. General information

NPI: 1598877037
Provider Name (Legal Business Name): EMERGENCY MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 BEECH ST
HOLYOKE MA
01040-2223
US

IV. Provider business mailing address

PO BOX 6167
HOLYOKE MA
01041-6167
US

V. Phone/Fax

Practice location:
  • Phone: 413-534-2500
  • Fax: 508-655-0665
Mailing address:
  • Phone: 508-655-0686
  • Fax: 508-655-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS FAY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 413-534-2500