Individual
CLAUDETTE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E 54TH ST, BROOKLYN, NY 11203-3607
(718) 485-1214
Mailing address
225 E 54TH ST, BROOKLYN, NY 11203-3607
(718) 485-1214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257687
NY
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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