Individual
ELIZABETH FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2114
(845) 858-7000
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(845) 987-3973
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340646
NY
Other
Enumeration date
09/21/2006
Last updated
03/02/2016
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