Individual
KEVIN M FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 E 46TH ST APT 22F, NEW YORK, NY 10017-3031
(212) 661-7029
(212) 661-7029
Mailing address
310 E 46TH ST APT 22F, NEW YORK, NY 10017-3031
(212) 661-7029
(212) 661-7029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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