Organization
DEGLIUOMINI&FITZPATRICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD T. FITZPATRICK M.D. (PHYSICIAN)
(718) 256-4093
Entity
Organization
Contact information
Practice address
7220 17TH AVE, BROOKLYN, NY 11204-5141
(718) 256-4093
(718) 837-7815
Mailing address
7220 17TH AVE, BROOKLYN, NY 11204-5141
(718) 256-4093
(718) 837-7815
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
167565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432360
—
NY
01
—
1891795431
PERSONAL NPI
NY
Enumeration date
03/28/2007
Last updated
08/22/2020
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