Individual
JESSICA FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 MILTON AVE, STATEN ISLAND, NY 10306-5740
(917) 525-6223
Mailing address
116 MILTON AVE, STATEN ISLAND, NY 10306-5740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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