Individual
TARA ASHLEY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7381
Mailing address
106 JAMES ST, ROSENDALE, NY 12472-9718
(845) 389-8040
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002136
NY
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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