Individual
MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
25 W 45TH ST FL 10, NEW YORK, NY 10036-4916
(516) 505-7200
Mailing address
120 FRANK ST, MEDINA, NY 14103-1715
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407922
NY
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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