Individual
HALIANN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1157 ROUTE 55, LAGRANGEVILLE, NY 12540
(845) 486-4860
Mailing address
819 BORDENS CIR, WALLKILL, NY 12589-3935
(845) 522-0028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030370
NY
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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