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Samantha Fairchild, PA

Physician Assistant in Yorktown Heights, NY. Individual provider (NPI-1).

NPI number1649001082
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1649001082
Entity type
Individual (NPI-1)
Name
Samantha Fairchild
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 8, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant032557NYYes

Practice location

3379 Crompond Rd
Yorktown Heights, NY 10598-3605

Phone 914-930-5550 · Fax 914-930-5551

Mailing address

3379 Crompond Rd
Yorktown Heights, NY 10598-3605

Phone 914-930-5550 · Fax 914-930-5551

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