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Individual

DR. PATRICIA SCOTT FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
11755 RESERVOIR RD, WAYLAND, NY 14572-9614
(585) 728-9228
Mailing address
11755 RESERVOIR RD, WAYLAND, NY 14572-9614
(585) 728-5927

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0109601
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100319FC
PREFERRED CARE
NY
01
5209120
AETNA
NY
01
6892971002
VAUE OPTIONS GHI EMPIRE
NY
01
P0200010960
EXCELLUS BLUE SHIELD
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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