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Organization
HEIDI FYRBERG PHYSICIAN ASSISTANT PC
Active
Organization
HEIDI FYRBERG PHYSICIAN ASSISTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI FYRBERG-COHEN PA (PHYSICIAN ASSISTANT)
(516) 652-7100
Entity
Organization
Contact information
Practice address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(516) 652-7100
Mailing address
20 DONOVAN DR, COLD SPRING HARBOR, NY 11724-2222
(516) 652-7100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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