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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY FATER, PA-C

Active

LACEY FATER, PA-C is a Physician Assistant healthcare provider located in SEA CLIFF, New York. NPI 1619495454 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SEA CLIFF, NY

Registration Details

NPI Number
1619495454
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2017 (8.9518824323246 yrs)
Last Updated
Mar 17, 2018

Practice Information

Address
207 GLEN COVE AVE
SEA CLIFF, NY, 115791455
Browse NY providers · Browse ZIP 11579
Phone
5166761742
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SEA CLIFF, NY

Name Credential NPI
NICOLE SQUILLACIOTI I PA-C 1932877701
MR. RICHARD KUSHAY PA-C 1821754938
MELINDA ROSE MALLOY PA 1336821966
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.