Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SUSAN ROSE FAIRBAIRN, COTA
ActiveMISS SUSAN ROSE FAIRBAIRN, COTA is a Community Health Worker healthcare provider located in MARGARETVILLE, New York. NPI 1487939575 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · MARGARETVILLE, NY
Registration Details
- NPI Number
- 1487939575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2011 (14.833469550363 yrs)
- Last Updated
- Oct 20, 2011
- License
-
006720 (NY)
Practice Information
- Address
-
415 MAIN ST.MARGARETVILLE, NY, 124550319Browse NY providers · Browse ZIP 12455
- Phone
- 8455862647
- Fax
- 8455862949
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.