Individual
DR. COVENEY FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 S PORTER ST, WATKINS GLEN, NY 14891-1622
(607) 535-7873
(607) 535-7469
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03727268
—
NY
Enumeration date
09/02/2010
Last updated
11/24/2020
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