Individual
DR. MICHAEL T FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3375 PARK AVE, 4000, WANTAGH, NY 11793-3733
(516) 221-8838
(516) 221-4709
Mailing address
3375 PARK AVE, 4000, WANTAGH, NY 11793-3733
(516) 221-8838
(516) 221-4709
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
01140001
NY
Other
Enumeration date
09/01/2006
Last updated
07/09/2007
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