LACEY FATER (NPI# 1619495454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619495454 |
| Entity Type | Individual |
| Full Name | LACEY FATER |
| Credential | PA-C |
| Practice Address |
207 Glen Cove Ave Sea Cliff NY 11579-1455 |
| Mailing Address |
245 Old Country Rd Melville NY 11747-2726 |
| Practice Telephone | 5166761742 |
| Mailing Telephone | 6314656141 |
| Mailing Fax Number | 6314651967 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Port Washington Blvd, Roslyn, NY 115761347 | 5165626000 |
| Street Address |
207 GLEN COVE AVE |
| City | SEA CLIFF |
| State | NY |
| Zip Code | 11579-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740366434 | Charles A Gambino | Internal Medicine | 207 Glen Cove Ave, Sea Cliff, NY 11579 | 2006-10-27 |
| 1700408762 | Samantha M Ferazzoli | Registered Nurse | 207 Glen Cove Ave, Sea Cliff, NY 11579-1455 | 2020-05-13 |
| 1467994608 | Kimberlee Barresi | Nurse Practitioner | 207 Glen Cove Ave, Sea Cliff, NY 11579-1455 | 2016-11-04 |
| 1174981492 | Eleonora Lopez | Nurse Practitioner | 207 Glen Cove Ave, North Coast Medical Group, Sea Cliff, NY 11579-1455 | 2016-02-01 |
| 1245656073 | Chs Physician Partners, PC | Internal Medicine | 207 Glen Cove Ave, Suite B, Sea Cliff, NY 11579-1455 | 2014-03-18 |
| 1669709663 | Allison Andreno Norful | Nurse Practitioner | 207 Glen Cove Ave, North Coast Internal Medicine, Sea Cliff, NY 11579-1455 | 2009-11-11 |
| 1255571451 | Krysten Anne Raymond | Physician Assistant | 207 Glen Cove Ave, Sea Cliff, NY 11579-1455 | 2009-02-27 |
| 1164600987 | North Coast Internal Medicine, P.C. | Internal Medicine | 207 Glen Cove Ave, Sea Cliff, NY 11579-1437 | 2008-02-04 |
| 1336278407 | Christian Anthony Lorentzen | Physician Assistant | 207 Glen Cove Ave, Sea Cliff, NY 11579-1437 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265994461 | Susan C Thomas Lyons | Social Worker | 267 Sea Cliff Avenue, Sea Cliff, NY 11579 | 2019-04-05 |
| 1659843894 | Muireann Phelan | Social Worker | Park and Downing Avenues, Sea Cliff, NY 11579 | 2018-12-28 |
| 1205099611 | Elizabeth M Santoro | Speech-Language Pathologist | 291 Prospect Ave, Sea Cliff, NY 11579 | 2008-07-07 |
| 1508075938 | Helen Leitl | Nurse Practitioner | Sco Family of Services, Infirmary, Park and Downing Avenues, Sea Cliff, NY 11579 | 2007-05-22 |
| 1326267030 | Judi D Livigni | Dietitian, Registered | 216 Sea Cliff Avenue, Sea Cliff, NY 11579 | 2007-04-24 |
| 1376513671 | Steven J Ruden Dds PC | Dentist | 216 Sea Cliff Ave, Sea Cliff, NY 11579 | 2006-01-26 |
| 1063588853 | Maureen C. Roller | Nurse Practitioner | 206 Glen Cove Ave, Sea Cliff, NY 11579 | 2006-11-26 |
| 1124663711 | Emily L Alterman | Behavioral Analyst | 30 Prospect Ave, Sea Cliff, NY 11579-1004 | 2019-11-07 |
| 1760826689 | Lawrence Fred Reichgut | Ophthalmology | 20 Prospect Ave, Sea Cliff, NY 11579-1004 | 2013-04-22 |
| 1164975686 | Natacha Ivelis Gonzalez | Counselor | 27 Prospect Ave, Sea Cliff, NY 11579-1005 | 2016-08-02 |
| Find all providers in zip 11579 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.