Individual provider · Type 1 NPI

Stacy Heath, P.A.

Surgical Physician Assistant · New York, NY

NPI number 1639322266 Active

Practice location

1190 5th Ave, Box 1028
New York, NY 10029-6503

Fax (212) 659-1621

Mailing address

1275 York Ave
New York, NY 10065-6007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X011315 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1639322266

Stacy Heath, P.A.'s National Provider Identifier is 1639322266, issued on Oct 28, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 21, 2020.