Heather Fargo
NPI #1922739531 in Cherry Vall, New York
Provider Information
- NPI Number
- 1922739531
- Entity Type
- Individual
- Name
- Heather Fargo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 597 CO RD 54
- City
- Cherry Vall
- State
- New York
- ZIP Code
- 13214-1302
- Phone
- (607) 264-3265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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