Individual
BRYAN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
190 MERCER ST, 4TH FLOOR, NEW YORK, NY 10012-1502
(212) 677-3400
Mailing address
119 POST AVE, APT 4I, NEW YORK, NY 10034-3531
(347) 398-6383
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094834
NY
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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