Individual
CHRISTINE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., W.D.T., A/AO
Contact information
Practice address
12 DAVIDA LN, POUGHQUAG, NY 12570-5033
(845) 416-5420
Mailing address
12 DAVIDA LN, POUGHQUAG, NY 12570-5033
(845) 416-5420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1550920211
NY
174400000X
Specialist
708978131
NY
174400000X
Specialist
718669131
NY
174400000X
Specialist
Primary
818901142
NY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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