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Contact Information

MATTHEW K FAIRBANK, RPA-C
1 ATWELL RD
COOPERSTOWN, NY13326
 Phone: 607-547-3180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW K FAIRBANK · (Male)

NPI # 1184622516
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 07/11/2005
Last updated 10/08/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 007814
  • NY Medicaid 02321204
Hospital affiliation(s)
  • SARATOGA HOSPITAL - (Acute Care)
    211 CHURCH STREET
    SARATOGA SPRINGS, NY 12866
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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