Individual
DR. JAMES DAVID FITZGIBBON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
364 S WELLWOOD AVE, LINDENHURST, NY 11757-4905
(631) 956-3489
Mailing address
435 S 1ST ST, LINDENHURST, NY 11757-4914
(631) 956-1785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO8630-8
WORKERS' COMP
NM
Enumeration date
06/15/2006
Last updated
07/08/2007
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