Individual
CONNOR FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 RIDGEHAVEN DR, VESTAL, NY 13850-2640
(607) 798-6176
Mailing address
105 RIDGEHAVEN DR, VESTAL, NY 13850-2640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2948191
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
07/06/2016
Last updated
03/24/2021
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