Organization
DENISE M FICKLIN-FITZGERALD
Active
Other names
The Esoteric Transformational Church Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M FICKLIN-FITZGERALD E.M.B.A. (REHABILITATION CHRISTIAN COUNSELOR)
(888) 666-1203
Entity
Organization
Contact information
Practice address
315 MADISON AVE, SUITE 901, NEW YORK, NY 10017-5405
(888) 666-1203
(212) 957-1912
Mailing address
315 MADISON AVENUE, SUITE 901, NEW YORK, NY 10017
(888) 666-1203
(212) 957-1912
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
714520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251V00000X
—
CA
05
—
251V00000X
—
NJ
05
—
251V00000X
—
NY
05
—
253Z00000X
—
CA
05
—
253Z00000X
—
NY
Enumeration date
08/24/2011
Last updated
08/24/2011
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