Individual
NOELLE FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021390
NY
Other
Enumeration date
10/02/2017
Last updated
05/05/2025
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