Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER FARGO
ActiveHEATHER FARGO is a Physician Assistant healthcare provider located in CHERRY VALL, New York. NPI 1922739531 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHERRY VALL, NY
Registration Details
- NPI Number
- 1922739531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2022 (4.1453448604049 yrs)
- Last Updated
- Dec 20, 2023
- License
-
030992 (NY)
Practice Information
- Address
-
597 CO RD 54CHERRY VALL, NY, 132141302Browse NY providers · Browse ZIP 13214
- Phone
- 6072643265
- Fax
- 6072643458
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.