Individual
HEIDI FYRBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
831 LITTLE BRITAIN RD, NEW WINDSOR, NY 12553-5518
(845) 446-1100
(845) 446-4581
Mailing address
695 US HIGHWAY 46 STE 400A, FAIRFIELD, NJ 07004-1568
(973) 894-1263
(888) 972-3703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA100180
MA
363AS0400X
Surgical Physician Assistant
Primary
005916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400118590
PTAN QSNY1
NY
01
—
A400123912
MCARE PTAN QSNY2
NY
Enumeration date
03/31/2007
Last updated
12/30/2025
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