Individual
DR. SALLY ELIZABETH AUSTIN-FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
# 2 BRIDGE AND MAIN STREET, NEW HARTFORD, CT 06057
(860) 379-7183
Mailing address
PO BOX 361, NEW HARTFORD, CT 06057
(860) 379-7183
(860) 738-0436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
956
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004147163
—
CT
Enumeration date
07/05/2006
Last updated
12/19/2008
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